期刊文献+

胰肠与胰胃吻合方式合理选择与评价 被引量:9

Reasonable option and evaluation of pancreaticojejunostomy and pancreaticogastrostomy
原文传递
导出
摘要 胰十二指肠或中段胰腺切除后胰腺残端-消化道的重建方式主要包括胰肠吻合和胰胃吻合两大类。两种吻合方式在围手术期并发症尤其是胰瘘发生率方面差异无统计学意义,胰胃吻合对胰腺远期内外分泌功能的影响尚不明了。对有望获得长期生存,或已经有胰腺内外分泌功能不全的病人,为避免远期的进一步损害,选择胰肠吻合较合理;而对于中段胰腺切除或胰管内乳头状黏液性肿瘤(IPMNs)的病人,可考虑胰胃吻合。总之,选择何种重建方式应综合考虑术者的操作习惯、手术方式、原发疾病的性质、胰腺的质地和内外分泌功能状态等诸多因素。 There are two categories of reconstruction after pancreaticoduodenectomy and segmental pancreatectomy, pancreaticojejunostomy and pancreaticogastrostomy. There is no difference on the incidence of pancreatic fistula between pancreaticojejunostomy and pancreaticogastrostomy. The influence of pancreatieogastrostomy on the exocrine and endocrine function is still unclear. To those patients with longer survival expectation and those with detrimental exocrine and endocrine function, pancreaticojejunostomy is a reasonable option to avoid further damage. To those accept segmental pancreatectomy or those with IPMNs, pancreaticogastrostomy maybe a reasonable option. After all, the choice of digestive tract reconstruction should be based on comprehensive consideration of factors such as operator' s habit, type of operation, nature of original disease, the texture and the state of exocrine and endocrine function.
作者 楼文晖
出处 《中国实用外科杂志》 CSCD 北大核心 2012年第8期627-629,共3页 Chinese Journal of Practical Surgery
关键词 胰十二指肠切除术 胰肠吻合 胰胃吻合 Keywords pancreaticoduodenectomy pancreaticojejunosto-my pancreaticogastrostomy
  • 相关文献

参考文献12

  • 1Waugh JM, Clagett OT. Resection of the duodenum and head of pancreas for carcinoma: an analysis of thirty cases [J]. Surgery, 1946,20(8):224-232.
  • 2Yeo C, Cameron J, Maher M, et al. A prospective randomized tri- al of y versus pancreaticojejunostomy after pancreaticoduodenectomy[J]. Ann Surg, 1995,222(4):580-588.
  • 3Bassi C, Faleoni M, Molinari E, et at. Reconstruction by pancre- aticojejunostomy versus panereaticogastrostomy following pan- createctomy results of a comparative study [J]. Ann Surg, 2005, 242(6):767-773.
  • 4Aranha GV, Aaron JM, Shoup M. Critical analysis of a large se- ries of pancreaticogastrostomy after pancreaticoduodenectomy [J]. Arch Surg, 2006,141(6):574-580.
  • 5Fibre JM, Amaud JP, Navarro F, et al. Result of pancreatico- gastrostomy after panereatoduodenectomy in 160 consecutive pa- tients[J]. Br J Surg, 1998, 85(6):751-754.
  • 6Telford GL, Ormsbee HS, Mason GR. Pancreatieogastrostomy improved by a pancreatic duct-to-gastric mueosa anastomosis [ J ]. Curr Surg, 1980,37(2): 140-142.
  • 7Tomimaru Y, Takeda Y Kobayashi S, et al. Comparison of post-operative morphological changes in remnant pancreas between pancreaticojejunostomy and pancreaticogastrostomy after pan- creatieoduodenectomy[J].Pancreas, 2009,38(2):203-207.
  • 8Lemaire E, O' Toole D, Sauvanet A, et al. Functional and mor- phological changes in the pancreatic remnant following pancreat- icoduodenectomy with pancreaticogastric anastomosis [J]. Br J Surg, 2000,87(4):434-438.
  • 9Rauh A, SaCunha A, Klopfenstein D, et al. Pancreaticojejunal anastomosis is preferable to pancreaticogastrostomy after pancre- aticoduodenectony for longterm outcomes of pancreatic exocrine function [ J ]. J Am Coil Surg, 2005,201 (2):239-244.
  • 10Fang WL, Su CH, Shyr YM, et al. Functional and morphologi- cal changes in pancreatic remnant after pancreaticoduodenecto- my[J]. Pancreas, 2007,35(4):361-365.

二级参考文献13

  • 1刘瑞,唐岩,胡先贵,张怡杰,胡志浩,邵成浩,金钢.中段胰腺切除术(附10例报告)[J].中华肝胆外科杂志,2006,12(3):180-182. 被引量:24
  • 2Lemaire E, O' Toole D, Sauvanet A, et al. Functional and morpho- logical changes in the pancreatic remnant following pancreaticoduode- nectomy with pancreaticogastric anastomosis. Br J Surg, 2000, 87 (4) :434 -438.
  • 3Konishi M, Ryu M, Kinoshita T, et al. Pathophysiology after pylo- ms-preserving panereatoduodenectomy: a comparative study of pan- creatogastrostomy and pancreatojejunostomy. Hepatogastroenterology, 1999,46(26) :1181 - 1186.
  • 4Wen LF, Cheng HS, Yi MS, et al. Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy. Pan- creas, 2007,35(4) :361 -365.
  • 5Okano K, Kakinoki K, Yachida S, et al. A simple and safe pancreas transection using a stapling device for a distal pancreatectomy. J Hep- atobiliary Pancreat Surg, 2008,15 (4) :353 -358.
  • 6Kleef J, Diener MK, Z' graggen K, et al. Distal pancreatectomy risk factors for surgical failure in 302 consecutive cases. Ann Surg, 2007,245(4) :573 -582.
  • 7Ferrone CR, Warshaw AL, Rattncr DW, et al. Pancreatic fistula rates after 462 distal panereateetomies: staplers do not decrease fistula rates. J Gastlointest Surg, 2008, 12(10) : 1691 - 1697.
  • 8Kitagawa H, Ohta T, Tani T et al. Nonelosure technique with saline - coupled bipolar eleetrocautery in management of the cut surface af- ter distal pancreateetomy. J Hepatobiliary Panereat Surg, 2008,15 (4) :377 -383.
  • 9Hartwig W, Duckheim M, Strobe1 O, et al. Ligasure for Pancreatic Sealing During Distal Pancreatectomy. World Journal of Surgery, 2010, 34(5) :1066 - 1070.
  • 10Michael W, Siyamek NM, Franklin K, et al. Central pancreatectomy without anastomosis. World J Surg, 2010,34 (5) : 1066 - 1070.

共引文献4

同被引文献96

  • 1Rong Liu,Go Wakabayashi,Chinnusamy Palanivelu,Allan Tsung,Kehu Yang,Brian KPGoh,Charing Ching-Ning Chong,Chang Moo Kang,Chenghong Peng,Eli Kakiashvili,Ho-Seong Han,Hong-Jin Kim,Jin He,Jae Hoon Lee,Kyoichi Takaori,Marco Vito Marino,Shen-Nien Wang,Tiankang Guo,Thilo Hackert,Ting-Shuo Huang,Yiengpruksawan Anusak,Yuman Fong,Yuichi Nagakawa,Yi-Ming Shyr,Yao-Ming Wu,Yupei Zhao.International consensus statement on robotic pancreatic surgery[J].Hepatobiliary Surgery and Nutrition,2019,8(4):345-360. 被引量:35
  • 2Yin-MoYang Xiao-DongTian YanZhuang Wei-MinWang Yuan-LianWan Yan-TingHuang.Risk factors of pancreatic leakage after pancreaticoduodenectomy[J].World Journal of Gastroenterology,2005,11(16):2456-2461. 被引量:52
  • 3Kennedy EP, Brumbaugh J, Yeo CJ. Reconstruction following the pylorus preserving Whipple resection: P J, H J, and DJ[J]. J Gastrointest Surg, 2010, 14(2):408-415.
  • 4Adams DB. The pancreatic anastomosis: the danger of a leak, which anastomotic technique is better?[J]. J Gastrointest Surg, 2009, 13(7):1182-1183.
  • 5Bassi C, Faleoni M, Molinari E, et al. Reconstruction by panereatieojejunostomy versus panereatieogastrostomy following panereateetomy: results of a comparative study[J]. Ann Surg, 2005, 242(6):767-771.
  • 6Duffas JP, Suc B, Msika S, et al. A controlled randomized multicenter trial of pancreatogastrostomy or pancreatojejunostomy after pancreatoduodenectomy[J]. Am J Surg, 2005, 189(6):720-729.
  • 7Yeo C J, Cameron JL, Maher MM, et al. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreatieoduodenectomy[J]. Ann Surg, 1995, 222(4):580-588.
  • 8Femfindez-Cruz L, Cosa R, Blanco L, et al. Pancreatogastrostomy with gastric partition after pylorus-preserving pancreatoauooenectomy versus conventional pancreatojejunostomy: a prospective randomized study[J]. Ann Surg, 2008, 248(6):930- 938.
  • 9Figueras J, Sabater L, Planellas P, et al. Randomized clinical trial of pancreaticogastrostomy versus pancreaticojejunostomy on the rate and severity of pancreatic fistula after y[J]Br J Surg, 2013, 100(12):1597-1605.
  • 10Topal B, Fieuws S, Aerts R, et al. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy for pancreatic or periampullary tumours: a multicentre randomised trial[J]. Lancet Oncol, 2013, 14(7):655- 662.

引证文献9

二级引证文献38

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