双重连续锁边缝合胰胃吻合术

Pancreaticogastrostomy with double binding continuous hem-stitch sutures

胰瘘是胰十二指肠切除术后最常见的并发症。针对胰腺质地柔软的患者，2011年1月至2012年6月华中科技大学同济医学院附属同济医院设计了双重连续锁边缝合胰胃吻合术，采用该方法对92例胰腺质地柔软的壶腹周围癌患者施行胰十二指肠切除术的消化道重建。中位胰胃吻合时间为12min，15例患者出现并发症，其中2例发生胰瘘（A级和B级各1例）。双重连续锁边缝合胰胃吻合术对胰腺质地柔软患者是一种安全、简单和可操作性强的新型胰胃吻合方式，有望为腹腔镜胰胃吻合提供新的选择。

Postoperative pancreatic leakage remains a persistent problem after panereaticoduodencctomy. For patients with a soft and nonfibrotic pancreas, double binding continuous hemstitch suture is an optimal method for anastomosis. From January 2011 to June 2012, 92 cases of periampullary carcinoma with a soft pancreas underwent pancreaticoduodenectomy, and then a modified technique of pancreaticogastrostomy was performed with 2 continuous hemstitch sutures placed in the mucosal and seromuscular layers of the posterior gastric wall, respectively. The median time for pancreaticogastrostomy was 12 minutes, and only 15 patients had postoperative complications. Two patients developed pancreatic leakage （1 grade A and 1 grade B ） postoperatively. Pancreaticogastrostomy with double binding continuous hemstitch sutures is a simple and safe recon- stniction procedure for patients with a soft and fragile pancreas who received pancreatieoduodenectomy.