期刊文献+

两种胰肠吻合术式与胰瘘关系探讨 被引量:8

Investigation of pancreatic fistula occurrence for two types of pancreaticojejunostomy
下载PDF
导出
摘要 目的分析比较粘合式胰肠吻合方式与双层套入式吻合方式发生胰瘘并发症的差异。方法对1999年1月至2006年1月期间57例胰十二指肠切除术病例资料进行回顾性分析研究,依据术中胰肠吻合方式的不同,分为粘合式胰肠吻合组和双层套入式吻合组,比较两组间手术时间、出血量、平均住院时间和胰瘘发生率的差异。结果无手术死亡。两组手术时间、出血量和平均住院时间无统计学差异。套入式吻合组发生胰肠吻合口瘘1例(2.9%)、单纯性胰瘘6例(17.6%),粘合式吻合组无胰瘘发生。两组胰肠吻合口瘘差异无统计学意义(P>0.05),套入式吻合组单纯性胰瘘显著高于粘合式吻合组(P<0.05)。胰瘘经保守治疗均治愈。结论胰肠吻合术式对胰瘘发生率有一定的影响,粘合式胰肠吻合术式可以有效地降低胰瘘发生率。 Objective To analyze and compare the difference of two types of pancreatic fistula occurred in pancreatoduodenectomy patients following two types of pancreaticojejunostomy. Methods From January 1999 to January 2006, 57 cases operated with pancreatoduodenectomy were analyzed retrospectively. They were classified conglutinated pancreaticojejunostomy with adhesion of fibrin glue group and end-to-end two-layer invaginated pancreatieojejunostomy group according to difference of anastomotic mode, in which we compared the average operation duration, volume of blood loss, hospitalization time and pancreatic fistula rate. Results No death happened. There in no statistical defference in the average operation duration, volume of blood loss and hospitalization time. One ease of anastomotic pancreatic fistula and 6 cases of simple pancreatic fistula happened in end-to-end two-layer invaginated pancreaticojejunostomy group, while none pancreatic fistula was found in conglutinated pancreaticojejunostomy with adhesion of fibrin glue group. Them was no statistical significanoe in anastomotic pancreatic fistula between the two groups, but the defference of simple pancreatic fistula showed statistical significance. These pancreatic fistulae were all cured by conservative therapy. Conclusion The type of pancreaticojejunostomy has a certain extent influence on the pancreatic fistula rate, which can effectively reduce by adopting eonglutinated pancreaticojejunostomy with adhesion of fibrin glue.
出处 《肝胆胰外科杂志》 CAS 2006年第5期294-296,共3页 Journal of Hepatopancreatobiliary Surgery
关键词 胰十二指肠切除术 粘合式胰肠吻合术 胰痿 pancreatoduodenectomy pancreaticojejunostomy pancreatic fistula
  • 相关文献

参考文献10

二级参考文献54

  • 1赵玉沛,蔡力行.胰管空肠吻合胰残端套入法预防Whipple术后胰瘘发生[J].中华外科杂志,1993,31(6):360-362. 被引量:47
  • 2[1]Buchler MW, Friess H, Wagner M, et al. Pancreatic fistula after pancreatic head resection[J]. Br J Surg, 2000, 87(7): 883-889.
  • 3[2]Grobmyer SR, Rivadeneira DE, Goodman CA, et al. Pancreatic anastomotic failure after pancreaticoduodenectomy[J]. Am J Surg, 2000, 180(2): 117-120.
  • 4[3]Tsuji M, Kimura H, Konishi K, et al. Management of continuous anastomosis of pancreatic duct and jejunal mucosa after pancreaticoduodenectomy: historical study of 300 patients[J]. Surgery, 1998, 123(6): 617-621.
  • 5[4]FabreJM, ArnaudJP, NavarroF, etal. Results of pancreatogastrostomy after pancreatoduodenectomy in 160 consecutive patients[J]. Br J Surg, 1998, 85(6): 751-754.
  • 6[5]Kojima Y, Katayama K, Note M, et al Pancreaticojejunostomy and pancreatic leakage after pancreaticoduodenectomy[J]. Int Surg, 1992, 77(2):80-83.
  • 7彭淑牖,吴育连,彭承宏,江献川,牟一平,王家骅,蔡秀军,李君达,陆松春,徐明坤.捆绑式胰肠吻合术(附 28 例报告)[J].中华外科杂志,1997,35(3):158-159. 被引量:157
  • 8Conlon KC, Klimstra DS, Brennan MF. Long term survival after curative resection for pancreatic ductal adenocarcinoma. Ann Surg,1996,23(3):273-279
  • 9Shyr YM, Su CH, Wu CH, et al. Does drainage fluid amylase reflect pancreatic leakage after pancreaticoduodenectomy? World J Surg, 2003,27(5):606-610
  • 10Peng SY, Mou YP, Cai XJ, et al. Binding pancreaticojejunosotomy is a new technique to minimize leakage. Am J Surg, 2002,183(3):283-285

共引文献211

同被引文献52

引证文献8

二级引证文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部