改良胰管空肠黏膜吻合术在胰十二指肠切除术中的应用
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马优钢

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Application of modified duct-to-mucosa pancreaticojejunostomy in pancreaticoduodenectomy
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    摘要:

    目的:探讨胰十二指肠切除术中胰/肠吻合技术的改进方式。
    方法:回顾性分析采用改良胰管空肠黏膜吻合的胰十二指肠切除术治疗胰、十二指肠良恶性疾患72例的临床资料。
    结果:72例无手术死亡,术后发生胰瘘2例(2.78%,2/72)。63例获随访,除3例有脂肪痢样慢性腹泻和营养状况较差外,余60例消化吸收功能基本正常,营养状况良好。
    结论:该改良胰/肠吻合方法具有操作简便、吻合可靠、胰瘘率低的特点,并能较好地保留胰腺外分泌功能。

    Abstract:

    Abstract:Objective:To investigate a modified technique of pancreaticojejunostomy in pancreaticoduodenectomy ( PD ).
    Methods :The clinical data of 72 patients of PD using the modified technique of duct-to-mucosa pancreaticojejunostomy for treatment of benign or malignant tumor of pancreas or duodenum was retrospectively analyzed.
    Results:There were no operative deaths; 2 of the 72 patients (2.78%) had postoperative pancreatic fistula. 63 patients were followed up. Of the 63 cases, the digestion and absorption functions of gastrointestine were normal in 60 patients and they were well nourished,but 3 patients suffered from chronic steatorrhea and malnutrition.
    Conclusions:The modified duct-to-mucosa pancreaticojejunostomy is a simple and safe technique. With this technique, the rate of pancreatic fistula or leakage is relatively low and the function of the remnant pancreatic is well preserved.

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朱斌,马优钢,荆良,夏雷,龚仁彦,邱应和,吴孟超.改良胰管空肠黏膜吻合术在胰十二指肠切除术中的应用[J].中国普通外科杂志,2007,16(5):16-.
DOI:10.7659/j. issn.1005-6947.2007.05.015

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  • 在线发布日期: 2007-05-25