摘要
目的探讨双荷包桥接式胰肠吻合消化道重建术在胰十二指肠切除术中的应用效果。方法选取2020年1月至2021年1月在九江市第一人民医院接受腹腔镜胰十二指肠切除术的120例患者作为研究对象,采用简单随机化法将其分为研究组与对照组,每组各60例。两组患者均接受腹腔镜胰十二指肠切除术,研究组患者采用双荷包桥接式胰肠吻合术,对照组患者采用传统的胰管对空肠黏膜吻合术。比较两组患者的手术时间、胰肠吻合时间、术中出血量以及术后并发症总发生率。结果研究组患者的手术时间[(5.5±0.3)h]和胰肠吻合时间[(25.3±7.1)min]均短于对照组[(6.1±0.5)h、(35.8±8.0)min],差异有统计学意义(P<0.05)。研究组患者的术中出血量[(342.7±34.6)ml]少于对照组[(370.0±27.2)ml],差异有统计学意义(P<0.05)。研究组患者的术后并发症总发生率(5.0%)低于对照组(26.7%),差异有统计学意义(P<0.05)。结论双荷包桥接式胰肠吻合消化道重建术在胰十二指肠切除术中具有较好的应用效果,是一种安全、有效的胰肠重建方法,可在临床上推广使用。
Objective To investigate the application effect of double purse-string bridging pancreaticojejunostomy gastrointestinal reconstruction in pancreaticoduodenectomy.Methods A total of 120 patients who underwent laparoscopic pancreaticoduodenectomy in the First People′s Hospital of Jiujiang City were selected as the research objects.They were divided into the study group and the control group by simple randomization,with 60 cases in each group.Both groups of patients underwent laparoscopic pancreaticoduodenectomy.The study group used double purse-string bridging pancreaticojejunostomy,and the control group used traditional pancreaticojejunostomy.The operation time,pancreaticojejunostomy time,interoperative bleeding volume and rate of postoperative complications were compared between the two groups of patients.Results The operation time and the pancreaticojejunostomy time of the study group([5.5±0.3]h,(25.3±7.1)min)were shorter than those of the control group([6.1±0.5]h,[35.8±8.0]min),and the differences were statistically significant(P<0.05).The interoperative bleeding volume of the study group([342.7±34.6]ml)was less than that of the control group([370.0±27.2]ml),and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the study group(5.0%)was lower than that in the control group(26.7%),and the difference was statistically significant(P<0.05).Conclusion Double purse-string bridging pancreaticojejunostomy gastrointestinal reconstruction obtains a good application effect in pancreaticoduodenectomy.It is a safe and effective for pancreaticojejunostomy and can be promoted in clinical practice.
作者
赵新华
熊日晖
阮丽琴
ZHAO Xin-hua;XIONG Ri-hui;RUAN Li-qin(The First Department of Hepatobiliary and Pancreatic Surgery,the First People′s Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China)
出处
《中国当代医药》
CAS
2021年第27期84-86,共3页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202140314)。
关键词
双荷包桥接式缝合
胰十二指肠切除术
胰肠吻合
并发症
Double purse-string bridging suture
Pancreaticoduodenectomy
Pancreaticojejunostomy
Complications
