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两种胰肠吻合方法的比较:附57例报告 被引量:2

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摘要 目的:寻求一种安全易行的胰肠吻合方法以降低胰瘘的发生率。方法:回顾性分析2003年1月—2010年12月施行的胰十二指肠切除57例的临床资料,其中31例行胰肠一层吻合,26例行胰管空肠黏膜吻合,比较两组吻合所需时间及术后发生胰瘘的情况。结果:31例行胰肠一层吻合的胰肠吻合所需时间平均为14.93 min,其中1例(3.2%)术后发生胰瘘;26例行胰管空肠黏膜吻合的病人胰肠吻合所需时间平均为24.09 min,其中2例(7.7%)术后发生胰瘘。胰肠一层吻合组所需吻合时间少于胰管空肠黏膜吻合组(P<0.05);胰瘘的发生率,差异无统计学意义(P>0.05)。结论:胰肠一层吻合是一种简单可靠的胰肠吻合方法。
出处 《中国普通外科杂志》 CAS CSCD 北大核心 2012年第3期357-359,共3页 China Journal of General Surgery
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参考文献8

  • 1Fuks D, Piessen G, Huet E, et al. Life-threatening postoperative pancreatic fistula (grade C) after pancreaticoduodenectomy: incidence, prognosis, and risk factors[J]. Am J Surg, 2009, 197(6):702-709.
  • 2Berger AC, Howard TJ, Kennedy EP, et al. Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual- institution trial[J]. J Am Coil Surg, 2009, 208(5):738-747.
  • 3胰腺术后外科常见并发症预防及治疗的专家共识(2010)[J].中华外科杂志,2010,48(18):1365-1368. 被引量:135
  • 4Yeo C J, Cameron JL. Improving results of pancreaticoduenectomy for pancreatic cancer [J]. World J Surg, 1999, 23(9):907-912.
  • 5Kakita A, YoshidaM, Takahashi T. History of pancreaticojejuno- storey in pancreaticoduodenectomy: development of a more reliable anastomosis technique[J]. J Hpatobiliary Pancreat Surg, 2001, 8(3):230 - 237.
  • 6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
  • 7Peters JH, Carey LC. Historical review of pancreaticoduo- denectomy[J]. Am J Surg, 1991, 161(2):219-225.
  • 8Grobmyer SR, Kooby D, Blumgart LH, et al. Novel pancreaticojejunostomy with a low rate of anastomotic failure-related complications[J]. J Am Coil Surg, 2010, 210(1):54-59.

二级参考文献1

  • 1Bassi C,Dervenis C,Butturini G,et al.Postoperative pancreatic fistula:an international study group (ISGPF) definition.Surgery,2005,138:8-13.

共引文献290

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  • 1刘颖斌,王建伟,方河清,彭承宏,吴育连,许斌,邓贵龙,李海军,李江涛,王新保.捆绑式胰肠吻合术在胰十二指肠切除术中的应用[J].中华医学杂志,2004,84(12):997-999. 被引量:31
  • 2Maggiori 1,, Sauvanet A, Nagamjan G, et al. Binding versus conventional pancreaticojejunoslomy after pancreaticoduodenectomy: a case-matched study[J]. J (;aslrointest Surg, 2010, 14(9):1395-1400.
  • 3Reid-l,omhardo KM, Farnell MB, Crippa S, et al. Pancreatic anastomolic leakage after pancreaticoduodenectomy in 1507 patients: a report from the Pancreatic Anastomotic Leak Study Group[J]. Gaatroinlest Surg, 2007, 11(11):1451-1458.
  • 4Molinari E, Bassi C, Salvia R, et al. Amylase value in drains after pancreatic resection as predictive factor of postoperative pancreatic fistula: resuhs of a prospective study in 137 patients[J]. Ann Surg, 2007, 246(2):281-287.
  • 5Smith SL, Rae D, Sinclair M, el ah Does moderate celiac axis stenosis identified on preoperative muhidetector computed tomographic angiography predict an increased risk of complications after pancreaticoduodenectomy for malignant pancreatic tumors?[J]. Pancreas, 2007, 34(1):80-84.
  • 6Kleespies A, Albertsmeier M, Obeidat F, et al. The challenge of pancreatic anastomosis[J]. Langenbecks Arch Surg, 2008, 393(4):459-471.
  • 7Kuramoto M, Ikeshima S, Shimada S, et al. Pancreaticnjejunostomy by reinforcing the pancreas without covering the anastomotic line reduces pancreatic fistula[J], lnt J Surg, 2013, 11(9):909-913.
  • 8Machado NO. Pancreatic fistula after pancreatectomy: definitions, risk faclors, preventive measures, and management-review[J]. Int J Surg Oncol, 2012, 2012:602478. doi: 10.1155/2012/602478.
  • 9Varco RL. A method of implanting the pancreatic duct into the jejunum in the Whipple operation for carcinoma of the pancreas; case report[J]. Surgery, 1945, 18:569-573.
  • 10Bassi C, Falconi M, Molinari E, et al. Duct-to-mucosa versus end-to-side pancreaticojejunostomy reconstruction after pancreaticoduodenectomy: results of a prospective randomized trial[J]. Surgery, 2003, 134 (5):766-771.

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