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胰十二指肠切除术后出血的防治策略 被引量：7

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摘要 胰十二指肠切除术（pancreaticoduodenectomy,PD）是治疗胰头、十二指肠区域以及胆管下端肿瘤等疾病的经典术式。该术式涉及器官多,手术操作复杂,手术并发症发生率高。随着外科技术水平的不断提高以及围手术期管理能力的提升,大手术量单位胰十二指肠切除术后死亡率下降到5.0%以下,但术后并发症率仍然高达30.0%-50.0%。
作者 戎叶飞 楼文晖
机构地区 复旦大学附属中山医院胰腺外科
出处 《临床外科杂志》 2017年第10期735-737,共3页 Journal of Clinical Surgery
基金 国家自然科学基金青年基金项目资助(No.81401923)
关键词 胰十二指肠切除术 出血 防治
分类号 R656 [医药卫生—外科学]
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二级参考文献13

  • 1Adam C. Berger,Thomas J. Howard,Eugene P. Kennedy,Patricia K. Sauter,Maryanne Bower-Cherry,Sarah Dutkevitch,Terry Hyslop,C. Max Schmidt,Ernest L. Rosato,Harish Lavu,Atilla Nakeeb,Henry A. Pitt,Keith D. Lillemoe,Charles J. Yeo.Does Type of Pancreaticojejunostomy after Pancreaticoduodenectomy Decrease Rate of Pancreatic Fistula? A Randomized, Prospective, Dual-Institution Trial[J].Journal of the American College of Surgeons.2009(5)
  • 2Manabu Kawai,Masaji Tani,Seiko Hirono,Shinomi Ina,Motoki Miyazawa,Hiroki Yamaue.How Do We Predict the Clinically Relevant Pancreatic Fistula After Pancreaticoduodenectomy?—An Analysis in 244 Consecutive Patients[J].World Journal of Surgery.2009(12)
  • 3Yu-Wen Tien MD, PhD,Yao-Ming Wu MD,Kao-Lang Liu MD,Cheng-Maw Ho MD,Po-Huang Lee MD, PhD.Angiography is Indicated for Every Sentinel Bleed after Pancreaticoduodenectomy[J].Annals of Surgical Oncology.2008(7)
  • 4Peter Heiss MD, PhD,Maike Bachthaler MD,Okka Wilkea Hamer MD,Pompiliu Piso MD,Thomas Herold MD,Hans Juergen Schlitt MD,Stefan Feuerbach MD,Niels Zorger MD.Delayed Visceral Arterial Hemorrhage Following Whipple’s Procedure: Minimally Invasive Treatment with Covered Stents[J].Annals of Surgical Oncology.2008(3)
  • 5Emre F. Yekebas,Lars Wolfram,Guellue Cataldegirmen,Christian R. Habermann,Dean Bogoevski,Alexandra M. Koenig,Jussuf Kaifi,Paulus G. Schurr,Michael Bubenheim,Claus Nolte-Ernsting,Gerhard Adam,Jakob R. Izbicki.Postpancreatectomy Hemorrhage: Diagnosis and Treatment: An Analysis in 1669 Consecutive Pancreatic Resections[J].Annals of Surgery.2007(2)
  • 6Moritz N. Wente,Johannes A. Veit,Claudio Bassi,Christos Dervenis,Abe Fingerhut,Dirk J. Gouma,Jakob R. Izbicki,John P. Neoptolemos,Robert T. Padbury,Michael G. Sarr,Charles J. Yeo,Markus W. Büchler.Postpancreatectomy hemorrhage (PPH)–An International Study Group of Pancreatic Surgery (ISGPS) definition[J].Surgery.2007(1)
  • 7Thomas Blanc,Alexandre Cortes,Diane Goere,Annie Sibert,Patrick Pessaux,Jacques Belghiti,Alain Sauvanet.Hemorrhage after pancreaticoduodenectomy: when is surgery still indicated?[J].The American Journal of Surgery.2007(1)
  • 8Edwin Christopher Ellison.Evidence-based management of hemorrhage after pancreaticoduodenectomy[J].The American Journal of Surgery.2007(1)
  • 9Yoshiro Fujii,Hiroshi Shimada,Itaru Endo,Ken-ichi Yoshida,Ken-ichi Matsuo,Kazuhisa Takeda,Michio Ueda,Daisuke Morioka,Kuniya Tanaka,Shinji Togo.Management of Massive Arterial Hemorrhage After Pancreatobiliary Surgery: Does Embolotherapy Contribute to Successful Outcome?[J].Journal of Gastrointestinal Surgery.2007(4)
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共引文献33

同被引文献53

引证文献7

二级引证文献10

临床外科杂志
2017年 第10期

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