双“U”套入荷包捆绑式胰肠吻合预防胰漏的临床观察

Study on Double-＂U＂ Embedding and Pursestring Suture and Bind Style Pancreaticojejunostomy for the Prevention of Pancreatic Leaking

【目的】探讨胰肠吻合术后胰瘘的预防方法。【方法】2011年3～12月对28例患者行胰肠吻合时，先用4-0vicryl线作2针“U形”缝合，将胰腺残端套入空肠内约2cm，后用4-0 Prolene线连续缝合空肠断端及胰腺上下缘组织，作荷包捆绑固定。【结果】全组吻合时间平均（13士1．5）min，术后出现A级胰漏1例，未发生B、c级胰漏，无吻合口出血。【结论】双“U”套入荷包捆绑式的胰肠吻合术，操作简便、能有效减少胰漏发生率，是对胰肠吻合术的一种安全而有效的改进。

[Objective]To explore the method for the prevention of pancreatic leakage after pancreaticojejunosto- my. [Methods]A total of 28 patients underwent pancreaticojejunostomy from March 2011 to Dec. 2011. Vicryl silk 4-0 was used for double-＂U＂ suture and the pancreas was embedded into jejunum about 2cm, and then prolene silk 4- 0 was used for pursestring suture arid bind of jejunum and pancreas. [Results]The average anastomosis time was （13±1.5）min. Pancreatic leakage of grade A after the operation occurred in a case. No pancreatic leakage of grade 13 and C occurred. No anastomotic stoma bleeding was found. [Conclusion] Doubl~＂U＂ embedding, pursestring suture and bind style pancreaticojejunostomy is simple and can effectively decrease the incidence of pancreatic leakage, so it is a safe and feasible improvement method of pancreaticojejunostomy.