胰管空肠黏膜吻合技术在胰肠吻合中应用研究(附83例病例分析)

A method of pancreatieojejunostomy in pancreaticoduodenectomy:An analysis of 83 cases

目的探讨胰管空肠黏膜吻合技术在胰肠吻合中的应用价值。方法回顾性分析2009年7月至2012年12月在华中科技大学同济医学院附属同济医院胆胰外科行胰管空肠黏膜吻合术的83例病人的临床资料。结果 83例病人胰管空肠黏膜吻合的平均时间为(20±2)min,术后仅2例发生胰瘘,胰瘘发生率为2.4%(2/83)。结论胰管空肠黏膜吻合技术简单易行,能明显降低胰瘘的发生率,是一种安全可行的吻合方式。

Objective To explore a method of pancreaticojejunostomy in pancreaticoduodenectomy. Methods The clinical data of 83 cases of pancreaticoduodenectomy using the modified technique of duct to mucosa pancreaticojejunostomy from July 2009 to December 2012 in Department of General Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology were analyzed retrospectively. Results The average time was 20±2 min for the anastomosis in the 83 cases. There were only two cases of pancreatic leakage postoperatively with the incidence of 2.4% （2/83）. Conclusion The pancreaticojejunostomy is easy to perform and time-saving with obviously reducing incidence of pancreatic fistula. It is proved to be a kind of safe and efficient anastomosis.