胰十二指肠切除术消化道重建方式合理选择与评价

Reasonable option and evaluation of digestive tract reconstruction in pancreaticoduodenectomy

胰十二指肠切除术是腹部外科最具挑战性的手术之一。其手术时间长,操作复杂,切除范围广,对切除后消化道重建提出较高要求。经过外科医生不懈的努力,已经衍生出多种重建方式。合理的选择重建方式是胰十二指肠切除术成功与否的关键。选择合适的、术者熟练掌握的重建方式对于胰十二指肠切除术后并发症的防治具有重要意义。

Pancreaticoduodenectomy is one of the most challenging operations in the field of abdominal surgery because of its long time of operation, complexity of procedure, large extent of resection and greater demand for digestive tract reconstruction. Many new reconstruction methods have emerged by the efforts of all surgeons persistent hardworking. Moreover, choosing the most reasonable reconstruction method is the key factor that decides the outcome of pancreaticoduodenectomy. Choosing a reasonable reconstruction method which surgeon manages best is important for preventing postoperative complications.