胃大部切除十二指肠残端处理方式的选择

Choices on management of duodenal stump after gastrectomy

目的合理选择十二指肠残端的处理方式,降低十二指肠残端破裂的发生率。方法回顾性总结我院1852例毕II式胃大部切除术中十二指肠残端的处理资料。结果发生十二指肠残端破裂9例,发生率为0.5%,无手术死亡。结论行毕II式胃大部切除术时,十二指肠残端的处理应持审慎态度,术中应仔细探查确认病灶切除后无张力封闭,否则应根据具体情况选择各种旷置术处理残端。

[Objective] To choose proper management of duodenal stump and reduce the rupture of duodenal stump. [Methods] The management of duodenal stump in 1852 cases of Billroth II partial gastrectomy were analysed retrospectively. [Results] There are 9 cases of duodenum stump rupture but no death occurred. The incidence of rupture of duodenum stump was 0.5%. [Conclusion] It is necessary to be sure that no tensility closure after the lesions removal ,otherwise different ways of surgery should be choosed to be performed on duodenal stump according to different conditions.