胰胃吻合在胰十二指肠联合切除术中的临床应用

Clinical application of pancreaticogastrostomy after pancreaticoduodenectomy

目的探讨采用胰胃吻合术式在行胰十二指肠联合切除术中的临床应用。方法回顾性总结了10例因胰头癌和壶腹周围癌行胰十二指肠联合切除术,采用胰胃吻合术式重建消化道的病例资料。术后通过监测腹腔引流液中淀粉酶含量判断胰瘘的发生。结果术后10例患者均无胰瘘发生。结论胰十二指肠联合切除术采用胰胃吻合术式方法简便、安全、有效,明显减少了胰瘘的发生率,生活质量较好。

Objective To explore the clinical efficacy of pancreaticogastrostomy after pancreaticoduodenectomy.Methods The data of 10 patients with pancreatic cancer and periampullary carcinoma performing pancreaticogastrostomy after pancreaticoduodenectom were retrospectively analyzed.The incidence of pancreatic fistula was determined by monitoring the amylase level in the peritoneal drainage fluid.Results No pancreatic fistula was found.Conclusion The application of pancreaticogastrostomy after pancreaticoduodenectomy is simple,safe and effective to significantly reduce the incidence of pancreatic fistula.The quality of living is better.