“洪氏一针法”在胰十二指肠切除术中的应用

Application of"Hong's One Stitch Method"in pancreaticoduodenectomy

目的:探讨“洪氏一针法”在胰十二指肠切除术(PD)术中应用效果。方法:按照随机数字表法将2021年1月至2022年12月于我院行PD术治疗的40例患者分为2组,各20例。对照组采用胰腺空肠端端套入吻合术,观察组采用“洪氏一针法”行胰肠吻合术。比较2组围手术期指标、并发症、二次手术及死亡率、生活质量。结果:观察组胰肠吻合时间、手术时间及住院时间均短于对照组,胰瘘发生率低于对照组,差异有统计学意义(P<0.05);2组术中出血量、胰生化漏、胆瘘、出血、局限性腹腔感染、胃排空障碍、肺部感染发生率及二次手术、死亡率比较,差异均无统计学意义(P>0.05);观察组术后精神健康评分、情感职能评分、社会功能评分、精力评分、一般健康状况评分、躯体疼痛评分、生理职能评分、生理机能评分高于对照组,差异有统计学意义(P<0.05)。结论:PD术中采用“洪氏一针法”行胰肠吻合术有利于缩短胰肠吻合时间、手术时间、住院时间,加快患者术后恢复,减少胰瘘发生率,提高患者生活质量。

Objective:To investigate the effect of Hong's One Stitch Method in pancreaticoduodenectomy(PD).Methods:A total of 40 patients who underwent PD in our hospital from Jan 2021 to Dec 2022 were divided into two groups according to random number table method,with 20 patients in each group.The control group was treated with end to end pancreatojejunal anastomosis,and the observation group was treated with“Hong's One Stitch Method”.The perioperative indicators,complications,secondary surgery,mortality and quality of life were compared between the two groups.Results:The pancreatoenteroanastomosis time,operation time and hospitalization time in the observation group were shorter than those in the control group,and the incidence of pancreatic fistula was lower than that in the control group(P<0.05).There were no significant differences in intraoperative blood loss,pancreatic biochemical leakage,bile fistula,hemorrhage,localized abdominal infection,gastric emptying obstruction,pulmonary infection,secondary surgery and mortality between the two groups(P>0.05).The mental health score,emotional function score,social function score,energy score,general health status score,body pain score,and physiological function score in the observation group were higher than those in the control group(P<0.05).Conclusion:In PD surgery,the application of“Hong's One Stitch Method”to perform pancreatoenterostomy is beneficial to shorten the pancreatoenterostomy time,operation time and hospitalization time,accelerate the postoperative recovery,reduce the incidence of pancreatic fistula,and improve the quality of life of patients.