胰十二指肠切除附加Braun吻合治疗壶腹周围部肿瘤

Pancreatoduodenectomy Appending Braun's Anastomosis for Periampullary Tumour

目的总结壶腹周围部肿瘤的临床表现、病理学特征,探讨胰十二指肠切除附加Braun吻合治疗壶腹周围部肿瘤近、远期疗效。方法回顾性分析1995年7月至2005年5月本院收治并经手术及病理学证实的壶腹周围部肿瘤78例,其中行胰十二指肠切除附加Braun吻合21例,胰十二指肠切除57例。结果21例行胰十二指肠切除术附加Braun氏空肠侧侧吻合,术后1例发生胰瘘和胆瘘;57例胰十二指肠切除者中,7例发生胰瘘和胆瘘,10例发生胃肠道排空功能迟缓。结论胰十二指肠切除附加Braun氏空肠侧侧吻合术能最大限度降低胰瘘、胆瘘及胃肠道排空迟缓等并发症。

[Objective]To study the efficacy of pancreatoduodenectomy appending Braun＇s anastomosis for perlampullary turnouts and to summarize clinical manifestations, histopathological patterns . [Methods]The data of 78 cases of periampullary tumours confirmed by pathology and operation during 10 years in the Third Xiangya Hospital were retrospectively analyzed . [Results]Pancraticoduodenectomy complemented side-to-side jejunum anastomosis was performed in 21 cases（A group）, There were fewer complications of Gastrointestinal Emptying Dysfunction and pancreatic fistula and biliary fistula in A group than in control group. [Conclusion] Pancraticoduodenectomy complemented side-to-side jejunum anastomosis can decrease incidence of Gastrointes- tinal Emptying Dysfunction and pancreatic fistula and biliary fistula.