摘要
目的总结胰十二指肠切除术后胰瘘的预防经验。方法回顾性分析1992年1月至2010年11月97例行胰十二指肠切除术的病例资料。结果本组术后无胰瘘发生,术后肺部感染9例,腹部伤口感染6例(其中伤口裂开2例,右胸腔积液2例,胰腺残端出血、腹腔脓肿形成、胃排空延迟各1例),术后因高渗性昏迷死亡1例。结论完全性胰液外引流预防胰十二指肠切除术后胰瘘是一种安全可靠的方法,同时可以降低患者的住院费用。
Objective To summarize the experience of preventing pancreatic fistula after pancreaticoduodenectomy.Methods Pancreatoduodenectomic clinical data from January 1992 to November 2010 were retrospectively analyzed in 97 cases.Results In this group of patients,no pancreatic fistula was found,postoperative pulmonary infection in 9 cases,abdominal wound infection in 6 cases,2 cases of whom resulted in wound dehiscence,right pleural effusion in 2 cases,pancreatic stump bleeding,formation of abdominal abscess and gastric emptying delayed in 1 case for each,2 died after surgery.Conclusion Prevention of pancreatic fistula with complete external drainage of pancreatic fluid after pancreaticoduodenectomy is a safe and reliable method,and can reduce hospitalization costs.
出处
《肝胆胰外科杂志》
CAS
2011年第3期210-211,218,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
胰十二指肠切除术
胰瘘
预防
pancreaticoduodenectomy
pancreatic fistula
prevention
