摘要
目的探讨胰管空肠内固定支架粘膜吻合术对预防胰十二指肠切除术后胰空肠吻合口漏的效果。方法壶腹周围癌患者23例,胰十二指肠切除后行胰管空肠吻合时于胰管内放置内固定支架并引流至空肠肠腔内。结果23例均行胰管空肠内固定支架粘膜吻合术成功,术后无一例发生胰漏,均治愈出院。结论胰管空肠内固定支架粘膜吻合术可预防胰漏发生,方法简单有效,值得推广。
Objective To assess the effect of placement of internal fixed stent within pancreaticojejunal mucosa-mucosa anastomosis to prevent pancreatic fistula after pancreaticoduodenectomy. Method 23 cases of periampullary carcinoma underwent pancreaticoduodenectomy with pancreaticojejunal mucosa-mucosa anasto- motic internal stent through which the pancreatic fluid drained to jejunum. Result All the mucosa-mucosa anastomosis with internal stent succeeded and no pancreatic leakage occurred postoperatively. Conclusion Placement of internal fixed stent within pancreaticojejunal mucosa-mucosa anastomosis can prevent pancreatic leakage, indicating a simple, effective and recommendable procedure.
出处
《中国现代手术学杂志》
2005年第5期324-326,共3页
Chinese Journal of Modern Operative Surgery
基金
江苏省卫生厅资助课题(NO.H200109)
关键词
胰管空肠吻合术
胰腺瘘
胰十二指肠切除术
pancreaticojejunostomy
pancreatic fistula
pancreaticoduodenectomy
