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改进胰肠吻合技术在胰十二指肠切除术中预防胰瘘的治疗体会 被引量:2

Experience of modified pancreaticojejunostomy in preventing pancreatic fistula after pancreati- coduodenectomy
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摘要 目的探讨改进胰肠吻合技术在胰十二指肠切除术(pancreatoduodenectomy,PD)中预防胰瘘的作用。方法将改进胰管空肠黏膜对拢吻合技术应用于24例PD胰肠重建。结果效果满意,无一例胰瘘并发症,无一例死亡。结论改进胰管空肠黏膜对拢吻合技术应用于PD胰肠重建,可有效降低术后胰瘘的发生率,降低死亡率。 Objective To investigate the role of modified pancreaticojejunostomy in preventing pancreatic fistula after pancreaticoduodenectomy. Merthods Modified pancreaticojejunostomy was applied in 24 cases of pancreatoenteric reconstruction. Results The result of modified pancreaticojejunostomy is satisfactory. None of the cases had pancreatic fistula or resulted in death. Conclusion During the pancre- atoenteric reconstruction, the application of modified pancreaticojejunostomy may reduce the possibility of pancreatic fistula and mortality effectively.
出处 《临床外科杂志》 2012年第6期401-403,共3页 Journal of Clinical Surgery
关键词 胰肠吻合 胰十二指肠切除术 胰瘘 pancreaticojejunostomy pancreaticoduodenectomy pancreatic fistula
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  • 1徐泽宽,苗毅,刘训良,钱祝银,戴存才,蒋奎荣,吴峻立.壶腹周围癌行胰十二指肠切除335例报告[J].江苏医药,2004,30(7):516-518. 被引量:2
  • 2刘威,苗雄鹰,李永国,钟德玝,黄生福,王群伟.静脉输注奥曲肽预防胰十二指肠切除术后胰瘘[J].中国普通外科杂志,2004,13(12):927-929. 被引量:15
  • 3鲁建国,高德明,马庆久,梅乐园,何显力,褚延魁,杜锡林.降低胰十二指肠切除术后胰瘘发生率及病死率的体会[J].中国普通外科杂志,2005,14(11):863-865. 被引量:17
  • 4[1]Buchler MW, Friess H, Wagner M, et al. Pancreatic fistula after pancreatic head resection[J]. Br J Surg, 2000, 87(7): 883-889.
  • 5[2]Grobmyer SR, Rivadeneira DE, Goodman CA, et al. Pancreatic anastomotic failure after pancreaticoduodenectomy[J]. Am J Surg, 2000, 180(2): 117-120.
  • 6[3]Tsuji M, Kimura H, Konishi K, et al. Management of continuous anastomosis of pancreatic duct and jejunal mucosa after pancreaticoduodenectomy: historical study of 300 patients[J]. Surgery, 1998, 123(6): 617-621.
  • 7[4]FabreJM, ArnaudJP, NavarroF, etal. Results of pancreatogastrostomy after pancreatoduodenectomy in 160 consecutive patients[J]. Br J Surg, 1998, 85(6): 751-754.
  • 8[5]Kojima Y, Katayama K, Note M, et al Pancreaticojejunostomy and pancreatic leakage after pancreaticoduodenectomy[J]. Int Surg, 1992, 77(2):80-83.
  • 9Trede M, Schwall G. The complications of pancreatectomy.Ann Surg 1988; 207:39-47.
  • 10Cullen JJ, Sarr MG, Ilstrup DM. Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management. Am J Surg 1994; 168:295-298.

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  • 1Hashimoto Y, Traverso LW. After distal pancreatectomy pancreatic leak- age from the stump of the pancreas may be due to drain failure or pan- creatic ductal back pressure [ J ]. J Gastroint Sur, 2012,16 ( 5 ) : 993- 1003.
  • 2Hackert T, Werner J, Biichler MW. Postoperative pancreatic fistula [J]. The Surgeon,2011,9(4) :211-217.
  • 3Shukla PJ, Barreto SG, Fingerhut A, et al. Toward improving uniform- ity and standardization in the reporting of pancreatic anastomoses : a new classification system by the International Study Group of Pancreatic Sur- gery (ISGPS) [J]. Surgey, 2010,147 (3) : 144-147.
  • 4Lai EH,Lau SY, Lau WY, et al. Measures to prevent pancreatic fistula after pancreaticoduodeneetomy : a comprehensive review [ J ]. Arch Surg, 2009,144 ( 11 ) : 1074-1078.
  • 5中华医学会外科分会胰腺外科学组.中华外科杂志编辑部.胰腺术后外科常见并发症预防及治疗的专家共识(2010)[J].中华外科杂志,2010,48(18):1366-1368.
  • 6Qida T, Mimastu K, Kawasaki A, et al. Toward zero pancreatic leakage after pancreaticoduodenectomy for soft pancreas in low-volume pancreatic surgery centers [ J ]. Hepatogastroenterology, 2009,56 (91 ) :887-890.
  • 7李汉贤.胰十二指肠切除术消化道重建方法的争议和评价[J].世界华人消化杂志,2009,17(5):476-481. 被引量:13
  • 8岳树强,杨雁灵,遆振宇,窦科峰.胰管空肠连续吻合联合肠腔外引流预防胰十二指肠切除术后胰瘘[J].中华普通外科杂志,2009,24(3):182-184. 被引量:12
  • 9杜家文,裴东坡,黄林平,王正康,宁武.端侧胰管空肠黏膜-黏膜吻合术后胰瘘的危险因素分析[J].中华普通外科杂志,2009,24(3):185-188. 被引量:17
  • 10庄岩,杨尹默,高红桥,王维民,万远廉.钩突完全切除对胰十二指肠切除术后胰瘘发生率的影响[J].中华普通外科杂志,2010,25(7):552-554. 被引量:9

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