胰肠吻合及其改良对于术后胰瘘影响的研究现状

Research advances of effects of pancreaticojejunostomy and its modifications on postoperative pancreatic fistula

胰十二指肠切除术被认为是治疗十二指肠、远端胆管和胰头良恶性病变最有效的方式。术后胰瘘会对病人的生存率、预后造成重大影响。胰肠吻合作为术后胰瘘的危险因素之一,学者们从吻合方式、辅助材料等多方面进行改进,试图最大程度地降低术后胰瘘的发生。此文就胰肠吻合及其改良对于术后胰瘘的影响做一综述,为进一步降低术后胰瘘发生率提供相关理论借鉴。

Pancreaticoduodenectomy has been a golden standard for treating benign and malignant lesions of duodenum,distal bile duct and pancreatic head.Postoperative pancreatic fistula may significantly affect the survival and prognosis of patients.Pancreaticojejunostomy is one of the risk factors of postoperative pancreatic fistula.Researchers have modified anastomotic modes and auxiliary materials for minimizing the occurrence of postoperative pancreatic fistula.It may guide clinical decisionmaking for individualization to provide theoretical rationales for further lowering the incidence of postoperative pancreatic fistula.