彭氏捆绑式胰肠吻合术在胰十二指肠切除术中的应用

Clinical application of Peng's binding pancreaticojejunostomy in pancraticoduodenectomy

目的 总结彭氏捆绑式胰肠吻合术的临床应用经验 ,并将经改进的捆绑式吻合术 (Ⅱ型 )与原吻合术 (Ⅰ型 )的临床资料进行比较 ,评价其效果。方法 2 0 0 1年 1月至 2 0 0 3年 1月共有69例患者在我院行胰十二指肠切除 ,所有患者均顺利切除了十二指肠 ,并采用Ⅱ型捆绑式胰肠吻合术进行消化道重建 ,术后进行随访和B超检查。并将 69例患者的临床资料与 5 7例行Ⅰ型捆绑式吻合术患者的病例资料对比。结果 两组患者均没有发生胰肠吻合口漏 ,Ⅱ型捆绑式胰肠吻合术手术操作较I型简单 ,吻合所需时间平均为也短于I型吻合术。结论 Ⅱ型捆绑式胰肠吻合术能有效防止胰肠吻合口漏。且与Ⅰ型比较具有操作简单、节省时间。

Objective To summarize the clinical experience of Peng's binding pancreaticojejunostomy,and compare the effect of type Ⅰand type Ⅱ binding pancreaticojejunostomy.Methods From Jan.2000 to Jan.2003,type Ⅱ binding pancreaticojejunostomy was performed on 69 cases and type I binding pancreaticojejunostomy was performed on 57 cases.The cases were all followed up for 1～12 month and ultrasound was used to examine the leakage.Comparison was made between two groups to find out advantages of two types of binding pancreaticojejunostomy.Results The operations of all cases were successful.There was no anastomotic leakage in both two groups. Average time for anastomosis was 16 min and 27 min respectively.Conclusion Type Ⅱ binding pancreaticojejunostomy is as safe as type Ⅱ,but type Ⅱ is simpler and timesaving.Furthermore the stoma can be checked up as soon as anastomosis wasaccomplished in type Ⅱ.