胰腺手术中残存胰体尾的保留

Preservation of the remaining pancreatic body and tail in pancreatic operations

目的 探讨胰腺手术中如何保留残存的胰体尾.方法 7例行胰腺手术中,3例胰肠吻合口裂开,4例胰颈体部良性肿瘤切除,术中用主胰管导管桥式内引流将胰液引至临近的空肠袢内,均成功保留了残存的胰体尾.结果 术后经支持治疗,持续腹腔冲洗,抑制胰酶分泌,术后内分泌功能基本正常,顺利出院.结论 主胰管导管桥式内引流术,在保留残存胰体尾组织方面具有方法简单、快捷,可有效地保存胰腺的内、外分泌功能,改善患者术后的生活质量.

Objective The purpose of this study was to determine how to preserve the remaining pancreatic body and tail in the pancreatectomy. Methods In seven cases of pancreatectomy, three of them were the rupture of pancreatojejunal anastomosis, and four of them were the pancreatectomy for tumor in the pancreatic neck or body. During operations, a bridge internal drainages was used to drain the pancreatic juice into the adjacent jejunum. After the operations, the supportive treatment, continuous irrigation of peritoneal cavity and pancreatic enzyme inhibition were used. Results In all seven patients, the remaining pancreatic body and tail were successfully preserved. The endocrine functions of these patients recovered to nearly normal level and patients were discharged. Conclusions In preserving the remaining pancreatic body or tail, the bridge internal drainage has its advantage of convenience. It effectively preserves the exocrine of pancreas as well as its endocrine