胃癌保胰D_3术后胰体尾部缺血萎缩六例报告

Postoperative ischemic atrophy of distal pancreas on preserving-pancreas D_3 of gastric cancer-A report of 6 cases.

目的 探讨胃癌保胰D3 术后胰体、尾部缺血萎缩的原因及预防对策。方法 比较胃癌保胰D3 手术 16例脾动脉根部结扎后和 32例离脾动脉根部 5cm处结扎后的胰体、尾部缺血萎缩发生率 ,以 χ2 检验进行统计处理。结果 脾动脉根部结扎和离脾动脉根部 5cm处结扎病例胰体、尾缺血发生率分别为 37.5 %、0 ,有显著差异 (P <0 .0 1)。结论 离脾动脉根部 5cm处结扎脾动脉术后可完全避免胰体、尾缺血坏死。

Objective To study the causes and prophylatic measures of distal pancreas ischemic atrophy in patients with gastric cancer on preserving pancreas D 3 operation.Methods Occurrent rate of postoperative distal pancreas atrophy was compared between at the root ligation of splenic artery and at ligation of 5 cm away from the root. The results were tested by using χ 2.Results The occurrent rate of distal pancreas atrophy at splenic artery root ligation and ligation 5 cm away from the root was 37.5% , 0 respectively ( P < 0.01 ).Conclusion The ischemic atrophy of distal pancreas can be fully avoided at distal splenic artery ligation of 5 cm away from the root.