胰十二指肠切除手术流程及方法的改进

Improvement of operation technological process and method in pancraticoduodenectomy

目的探讨胰十二指肠切除手术流程及技术的改进和效果。方法对22例胰十二指肠切除患者的手术流程及方法进行改进,并与传统术式患者的手术时间、并发症、术后住院时间、住院费用进行比较。结果所有患者均顺利施行根治性胰十二指肠切除术,改良组较传统组明显缩短了手术时间、减少了胰瘘的发生、术后住院时间及住院费用。结论改良的胰十二指肠切除术操作简便、省时,减少了手术并发症、术后住院时间及住院费用,是一种有效方法,值得推广。

Objective To evaluate the effect of an improvement of operation technological process and method in pancraticoduodenectomy（PD）. Methods Twenty-two modified PD cases were performed by improvement of the operation technological process and method,and compared to the traditional PD in regard to operation time,postoperation complications,hospital stay after surgery and hospitalization costs. Results All cases had PD performed successfully.Compared to the tradional group,the modified guoup had significantly shorter operation time,and decrease of pancreatic fistula,hospital stay after surgery and hospitalization costs（all P0.05）. Conclusions Modified PD has the advantages of easier operation,decrease operation time,less complications,shorter hospital stay and lower hospitalization costs,and is an effective improvement of PD.