改良的保留十二指肠胰头切除术临床应用(附16例报告)

Clinical application of improved resection of pancreatic head with preserved duodenum(16 cases report)

目的探讨改良的保留十二指肠胰头切除术的适应症及具体术式的选择指征。方法总结我院2006年1月～2012年1月实施的16例改良的保留十二指肠胰头切除术患者的临床资料。结果患者手术死亡0例,术后发生胰瘘1例,无胆瘘、十二指肠瘘。结论改良的保留十二指肠胰头切除术由于完全保留十二指肠血管供应,同时保留了胃、十二指肠及胆道的连续性,手术安全性好,降低了手术创伤和切除范围,可作为胰头颈部良性病变和低度恶性肿块局部切除的术式。

Objective To discuss the indications of improved resection of pancreatic head with preserved duodenum and how to chose the specific pattern of operation. Methods Clinical data of 16 patients who received improved resection of pancreat- ic head with preserved duodenum from January 2006 to January 2012 in our hospital was collected. Results No death related to the processure occurred. One patient had postoperative pancreatic fistula, yet no biliary fistula and duodenum ＂fistula occurred. Conclusion Improved resection of pancreatic head with preserved duodenum is a safe processure with less surgical trauma and resection range, which was due to fuU retention of duodenal vascular supply and preserving the continuity of the stomach, biliary and duodenal. Thus, it can be used as a pattern of local resection of benign and low malignant tumor in pancreatic head and neck.