摘要
胰头和十二指肠在解剖上一直被认为是一个整体、密不可分,对位于胰头的病变,一般常规采用胰十二指肠切除术(Whipple术),但对于良性病变,由于切除了远端胃、全部十二指肠及正常胰腺组织,手术显得过大,损伤了正常胃、十二指肠和胰腺的内分泌和消化功能。自Beger于1972年实施应用保留十二指肠的胰头切除术(DPRHP)治疗慢性胰腺炎以来,其手术适应证逐渐扩大。
出处
《中华肝胆外科杂志》
CAS
CSCD
2008年第7期508-510,共3页
Chinese Journal of Hepatobiliary Surgery
参考文献26
-
1Kimura W ,Nagai H. Study of surgical anatomy for duodenum preserving resection of the head of the pancreas. Ann Surg, 1995,221:359-363.
-
2Kimura W, Muto T, Makuuchi M, et al. Subtotal resection of the head of the pancreas preserving duodenum and vessels of pancreatic arcade. Heptograstroenterology, 1996, 43: 1438- 1441.
-
3Kim SW, Kim KH, Jang JY, et al. Practical guidelines for the preservation of the pancreaticoduodenal arteries during duodnum-preserving resection of the head of the pancreas: clinical experience and a study using resected specimens from pancreaticoduodenectomy. Hepatogastroenterology, 2001,48:264-269.
-
4Kimura W,Kuroda A, Makuuchi. Problems in the dignosis and treatment of a so-called mucin-producing tumor of the pancreas. Pancreas, 1998,16 : 353-359.
-
5Beger HG,Krautzbeger W,Bittneer R,et al. Duodenum-preserving resection of the head of the pancreas in patients with severe chronic pancreatitis. Surgery, 1985,97 : 467-473.
-
6Liang H,Hanyu F,Saiyo T,et al. A new procedure of total resection of the head of the pancreas preserving duodenum. Operation, 1990,44 : 447-451.
-
7Imaizumi T, Hanyu F, Suzuki M, et al. A new procedure total resection of the head of the pancreas preserving duodenum followed by dudenopancreatostomy. Bil Pan, 1990,11 : 621-626.
-
8Nagakawa T, Ohta T, Kayahara M, et al. Total resection of the head of the pancreas preserving the duodenum, bile duct, and papilla with end-to-end anastomosis of the pancreatic duct. Am J Surg,1997,173:210-212.
-
9Muller MW, Friess H, Beger HG, et al. Gastric emptying following pylorus-preserving whipple and duodenum-preserving pancreatic head resection in patients with chronic pancreatitis. Am J Surg,1997,173:257-263.
-
10Buchler MW, Friess H,Muller MW,et al. Randomized trial of duodenum-preserving pancreatic head resection versus pyloruspreserving whipple in chronic pancreatitis. Am J Surg, 1995, 169,65-69.
二级参考文献55
-
1郑扶民.胰腺囊肿的诊治进展[J].中国实用外科杂志,1994,14(8):499-501. 被引量:19
-
2郭克建,田雨丽霖,董明,詹勇.保留十二指肠的胰头切除术[J].中国实用外科杂志,1995,15(9):568-571. 被引量:11
-
3郭克建,田雨霖,杨茂栋,郭仁宣,沈魁.改良的保留十二指肠胰头切除术[J].中华外科杂志,1996,34(12):762-764. 被引量:12
-
4吴阶平 裘法祖.黄家驷外科学,第4版[M].北京:人民卫生出版社,1988.946-947.
-
5孟庆晨 边疆 等.保留十二指肠的胰头切除术二例报告[J].中华普通外科杂志,1988,13:313-313.
-
6蔡景修 董家鸿 等.保留十二指肠胰头切除术[J].中国实用外科杂志,1996,16(8):478-478.
-
7孟庆辉 边疆 于卫光 等.保留十二指肠的胰头切除2例报告[J].中华普通外科杂志,1998,13(5):313-313.
-
8[1]Beger HG, Krautzbeger W, Bittner R et al. Duodenum-preserving resection of the pancreas in patients with severe chronic pancrentitis[J]. Surgery,1985,97(40): 467-473.
-
9[2]Buchler MW, Friess H, Muller MW et al. Randomized trial of duodenum-preserving pancreatic head resection versus pylorus-preserving Whipple in chronic pancreatitis[J]. Am J Surg, 1995,169(1): 65-69.
-
10[3]Witzigmann H, Iax D, Uhlmann D et al. Outcome after duodenum-preserving pancreatic head resection is improved with classic Whipple procedure in the treatment of chronic pancreatitis[J]. Surgery, 2003,134(1): 53-62.
共引文献91
-
1Wu, Hong,Cheng, Nan-Sheng,Zhang, Yan-Ge,Luo, Hong-Zhi,Yan, Lu-Nan,Li, Jin.Improved early diagnosis of cystadenocarcinoma of the pancreas[J].Hepatobiliary & Pancreatic Diseases International,2007,6(1):87-91. 被引量:8
-
2郁新,王芳,袁菲菲.腹腔三套管在胰十二指肠切除术中的应用及护理[J].实用临床医药杂志,2013,17(8):1-3. 被引量:4
-
3杨惊雷,庄严.胰腺囊腺癌诊治分析(附7例报告)[J].淮海医药,2004,22(5):353-354.
-
4杨尹默,万远廉,庄岩,王维民,严仲瑜,黄莚庭.慢性胰腺炎的分型与术式选择[J].中华外科杂志,2005,43(3):140-144. 被引量:15
-
5郭克建,田雨霖,郭仁宣,张德洲,沈魁,何三光.慢性胰腺炎的外科治疗(附40例报告)[J].中华肝胆外科杂志,1998,4(5):301-304. 被引量:3
-
6吴泓,程南生,龚日祥,潘光栋,严律南.胰腺囊腺癌的早期诊断[J].四川大学学报(医学版),2006,37(4):659-660. 被引量:2
-
7李留峥,于杰,李立,肖仲贤.胰十二指肠切除术12例体会[J].大理学院学报(综合版),2006,5(8):35-36.
-
8邓清江,李著,龙运志,杨国栋.胰头壶腹周围癌的围手术期处理及并发症防治[J].南华大学学报(医学版),2006,34(2):248-250. 被引量:1
-
9杨尹默,田孝东.胰十二指肠切除术后胰瘘的危险因素[J].临床外科杂志,2006,14(12):760-762. 被引量:4
-
10熊炯圻,王春友,陶京,张树华.保留十二指肠胰头切除术的适应证及术式选择:附22例报告[J].中华外科杂志,2007,45(1):24-26. 被引量:23
同被引文献11
-
1Wu, Hong,Cheng, Nan-Sheng,Zhang, Yan-Ge,Luo, Hong-Zhi,Yan, Lu-Nan,Li, Jin.Improved early diagnosis of cystadenocarcinoma of the pancreas[J].Hepatobiliary & Pancreatic Diseases International,2007,6(1):87-91. 被引量:8
-
2刘瑞,唐岩,胡先贵,张怡杰,胡志浩,邵成浩,金钢.中段胰腺切除术(附10例报告)[J].中华肝胆外科杂志,2006,12(3):180-182. 被引量:24
-
3郭克建,田雨霖,杨茂栋,郭仁宣,沈魁.改良的保留十二指肠胰头切除术[J].中华外科杂志,1996,34(12):762-764. 被引量:12
-
4Wataru Kimura,Toshiyuki Moriya,Jinfeng Ma,Yukinori Kamio,Toshihiro Watanabe,Mitsukiro Yano,Hiroto Fujimoto,Koji Tezuka,Ichiro Hirai,Akira Fuse.Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein[J].World Journal of Gastroenterology,2007,13(10):1493-1499. 被引量:24
-
5李晋荣.CT在胰腺实性假乳头状瘤中的诊断价值及鉴别诊断[J].中国医师进修杂志(外科版),2007,30(8):14-16. 被引量:3
-
6Beger HG,Krautzberger W,Bittner R,et al. Duodenum-preserving resection of the head of the pancreas in patients withsevere chronic pancreatitis. Surgery, 1985,97 :467-473.
-
7郭春光,田艳涛,刘骞,王成锋,赵平.胰腺囊性肿瘤的诊断和治疗34例[J].世界华人消化杂志,2008,16(5):544-547. 被引量:10
-
8马砥,湛先保,李兆申,金震东,邹多武,陈洁,王东.内镜超声检查对胰腺黏液性囊性肿瘤和导管内乳头状黏液性瘤的诊断价值[J].诊断学理论与实践,2008,7(6):613-616. 被引量:6
-
9朱世凯,吴河水,周玉,熊炯炘,赵刚,王春友.保留十二指肠胰头切除术后并发症的防治体会[J].中华肝胆外科杂志,2009,15(11):813-815. 被引量:5
-
10申权,薛焕洲,姜青锋,王亚东.保留十二指肠胰头切除术治疗慢性胰腺炎的疗效观察[J].中华医学杂志,2010,90(44):3127-3130. 被引量:3
引证文献3
-
1曹海波,杨坤兴,席鹏程,胡斌斌.胰腺黏液性囊性肿瘤临床诊断及治疗[J].中国医师进修杂志,2010,33(17):21-23.
-
2姜青锋,申权,李珂,田玉伟,薛焕洲.保留十二指肠的胰头切除术治疗胰头部良性肿瘤[J].中华普通外科杂志,2013,28(5):341-343. 被引量:2
-
3余幼林,王秀艳,苏忠学,耿文茂,梁锋,卢晓飞,荣忠厚,施宝民.保留器官功能的胰腺切除术28例临床分析[J].中华普通外科杂志,2013,28(5):344-346. 被引量:3
二级引证文献5
-
1钱军.胰腺外伤胰胃吻合术后胰瘘的预防与处理[J].浙江创伤外科,2014,19(2):272-274.
-
2黄彦华,张文瑾.保留脏器功能的胰腺肿瘤局部切除术的临床应用[J].浙江创伤外科,2014,19(3):438-439.
-
3姜青峰,王要轩,李珂,田玉伟,薛焕洲.胰头部实性假乳头状瘤的诊治[J].中华肝胆外科杂志,2014,20(9):667-669. 被引量:3
-
4王科伟,李昱骥,董明,孔凡民.保留十二指肠的胰头切除术治疗胰头部良性病变14例分析[J].中国普外基础与临床杂志,2014,21(12):1548-1551. 被引量:1
-
5钱磊,洪晓明,沙洪存.功能保留性腹腔镜胰腺肿瘤剜除术2例报道[J].全科医学临床与教育,2023,21(5):466-467.
-
1赵玉沛,王维斌,张太平,廖泉,戴梦华,刘子文.Whipple术中应用改良式胃造瘘术的临床研究[J].中华外科杂志,2007,45(19):1318-1320. 被引量:3
-
2王鹏,刘珂,刘素侠,崔现平,王志意,张东源,秦成坤.TNF-AIP8在慢性胰腺炎中的表达及其临床意义[J].中国现代普通外科进展,2012,15(11):892-894.
-
3吉敏,崔彦,李晓鸥,王平,张宏文,李成林.异位胰腺7例临床分析[J].局解手术学杂志,2005,14(5):319-319. 被引量:1
-
4梁志鹏,高焱明.成功的胰肠吻合在预防Whipple手术后胰瘘中的作用[J].中国普通外科杂志,1996,5(2):104-105.
-
5李慧,杨芳清.高龄患者Whipple术的护理[J].基层医学论坛,2009,13(15):406-407.
-
6陈德,张茂,赖玉书.保留幽门胰十二指肠切除术与传统Whipple术近期疗效观察[J].内蒙古医学杂志,2007,39(10):1197-1199. 被引量:1
-
7郑海涛,卢俊,苏忠学,徐健,穆庆岭.Whipple术后胰漏与胰肠吻合方式的关系(附64例报告)[J].中国现代普通外科进展,2004,7(4):252-252. 被引量:1
-
8刘昌军,杨尽晖,尹新民,梁路峰,沈贤波,陈梅福,周海兰,吴金术.保留十二指肠胰头勺式切除与Whipple术治疗慢性胰腺炎并胰头结石的对比研究[J].中国现代手术学杂志,2012,16(4):249-252. 被引量:1
-
9李明信,马建青,王少鹏.应用吻合器胃切除47例分析[J].实用医学杂志,2002,18(7):792-792.
-
10聂忍东.胰十二指肠切除术后胰瘘及其预防[J].中国医药指南,2008,6(23):165-166.