摘要
目的总结壶腹周围肿瘤行胰十二指肠切除术后胰漏的防治经验。方法对该院2006年5月~2010年5月行胰十二指肠切除术病例90例进行回顾分析。结果 90例病人手术后胰漏6例,发生率6.6%,手术死亡3例,死亡率3.3%。结论胰漏的预防关键在于胰腺残端游离充分,吻合层次精确,张力小,胰管常规引流。一旦发生胰漏,充分引流非常重要,消化道重建以Child术式为佳。
Aim To sum up experience of prevention and treatment of early complications for pancreato-duodenectomy.Methods From 2006 to 2010,90 patients with peri-ampullar carcinoma treated by pancreato-duodenectomy were inveatigated.Results Pancreatic fistula occurred in 6 patients,with a morbidity of 6.6%.Three cases died,with a mortality of 3.3%.Conclusion Key means in prevention of pancreatic fistula include freeing the stump completely,minimizing the tension of anastomotic stoma,suturing the layers of anastomosis accurately,and placing drainage in pancreatic duct routinely.When pancreatic fistula occurs,drainage is very important.Child operative manner is good for rebuilding digestive tract.
出处
《安徽医药》
CAS
2011年第4期456-457,共2页
Anhui Medical and Pharmaceutical Journal
关键词
胰十二指肠切除术
胰漏
pancreatico duodenectomy
pancreatic fistula
