摘要
Objective To explore the ways how to decrease the morbidity and mortality of pancreaticoduodenectomy(PD).Medthods In 30 cases of PD,a free vascularized jejunal loop was used to pefform single loop Roux-Y anastomosis to reconstruct the digestive tract.Results The morality rate was xero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy.All patients were discharged from hospita 10-14 days after operation.Postoperative follow-up of long-term choronic complications showed only one patient(3.33%)suffered from chronic steatorrhea and malnutrition,the remaining 29 cases(96.67%)had a good function of digestion and normal nutrition.There were no cases of biler reflux gastric disease,retrograde infection,anastomostic ulcer of gastrojejunostomy,and dumping syndrome.Conclusion This surgical procedure can effectively reduce the morbidity and the mortality of PD.
