包埋式胰管空肠吻合在胰十二指肠切除中的应用体会

Application of embedding pancreatic duct jejunum anastomosis in pancreatectomy

目的探讨新的包埋式胰管空肠吻合方法在临床中的应用前景。方法 53例因壶腹周围肿瘤接受胰十二指肠切除手术患者分为改良组和对照组,改良组采用新的包埋式胰管空肠吻合技术,对照组采用传统胰管空肠吻合方法进行处理。观察两组之间手术时间、术后感染、出血、胰瘘发生率、平均住院时间及平均住院花费等指标是否存在差异。结果改良组平均手术时间、平均住院时间、术后感染、出血、胰瘘发生率等指标与对照组比较存在统计学差异(P<0.05),两组平均住院花费无统计学差异(P>0.05)。结论包埋式胰管空肠吻合方案安全可靠,具有操作简单、易于掌握等优点,是一项值得临床推广的吻合技术。

Objective To explore the prospect of new pancreatic duct jejunostomy applied in clinic.Methods We randomly 53 patients to undergo pancreaticoduodenectomy because of tumors around the ampulla divided into observation group and control group.The observation group adopted the new method of embedding pancreatic duct jejunostomy.The control group was treated with the traditional jejunal anastomosis method.Differences were observed between the two groups in terms of operation time,postoperative infection,bleeding,incidence of pancreatic fistula,average hospitalization duration and average hospitalization expenses.Results The observation group differed significantly from the control group in the average operation time,the average of hospitalization duration,incidence of postoperative infection,hemorrhage,and pancreatic fistula(P<0.05),but not in the average hospitalization cost(P>0.05).Conclusion The new method of embedding pancreatic duct jejunum anastomosis is safe and reliable,and has the advantages of being simple to operate and easy to master.It is a suitable technique worthy of clinical promotion.