摘要
目的:探讨胰十二指肠切除术胰肠吻合方式与胰漏发生的关系,以寻找预防胰漏的有效术式。方法:胰十二指肠切除术胰肠吻合手术114例,其中行胰腺空肠端端套入捆绑式吻合48例,胰腺空肠端侧双层套入式吻合37例,胰腺空肠端端袖套式吻合29例。结果:术后出现胰漏20例(17.5%),其中胰腺空肠端端套入捆绑式吻合8例,胰腺空肠端侧吻合5例,胰腺空肠端端袖套式吻合7例。3种胰肠吻合方式的胰漏发生率差异无统计学意义(P>0.05)。结论:3种胰肠吻合方式无优劣之分。熟练的手术操作技术能使胰漏的发生率显著下降。
Objective：To investigate the relationship between pancreatic leakage and pancreaticojejunostomy of pancreatico-jejunal postoperation and search the effective operation to prevent the pancreatic leakage. Methods：One hundred and fourteen patients were operated using pancreaticodudenectomy including 48 cases with pancreatico-jejunal ene-to-end binding,37 cases with end-to-side anastomosis and 29 cases with pancreatico-jejunal sleeve anastomosis. Results：Twenty cases with pancreatic leakage were detected,which accounted for 17.5% including 8 cases in pancreatico-jejunal ene-to-end binding,5 cases in end-to-side anastomosis and 7 cases in pancreatico-jejunal sleeve anastomosis.The incidence differences of pancreatic leakage of three types of pancreaticojejunostomy were not statistical significant（P〉0.05）. Conclusions：The effects of three types of pancreaticojejunostomy are not different and the skilled operation technology can obviously reduce the incidence of pancreatic leakage.
出处
《蚌埠医学院学报》
CAS
2012年第9期1029-1030,1033,共3页
Journal of Bengbu Medical College
关键词
胰十二指肠切除术
胰腺-空肠吻合术
胰漏
pancreaticodudenectomy； pancreaticojejunostomy； pancreatic leakage
