胰十二指肠切除胰腺空肠端侧吻合156例分析
焦猛;刘毅;刘恩宇;郭森;刘炎锋;夏磊洲;杨辉;孟海鹏;陈雨信
【期刊名称】《中国现代普通外科进展》 【年(卷),期】2013(016)003
【摘要】目的:探讨胰十二指肠切除术中胰腺空肠端侧吻合技术.方法:回顾性分析山东大学齐鲁医院肝胆外科2004年3月-2012年6月156例胰十二指肠切除术行胰腺空肠端侧吻合患者的临床资料.根据胰腺的质地、厚度、胰管直径、胰管后壁胰腺组织的厚度、有无炎症,结合空肠的直径、空肠壁的厚度选择胰管-空肠黏膜-黏膜吻合、端侧套入式吻合等不同的吻合方式.结果:术中胰肠重新吻合8例.术后胰瘘3例、胆瘘2例、死亡2例.结论:胰十二指肠切除术中胰腺空肠吻合应根据患者的胰腺和空肠情况进行个体化选择.%Objectives To analyze the
procedure
of
end-side
pancreaticojejunostomy
after
pancreaticoduodenectomy(PD). Methods: The clinical data of 156 patients who underwent PD between March, 2004 and June, 2012 were reviewed
retrospectively.
Individualized
end-side
pancreaticojejunostomy was performed according to the pancreas testure, the thickness of pancreas body and posterior wall, the diameter of pancreatic duct and the pancreatitis combined with the diameter of jejunum and the thickness of the jejunum wall. Different kinds of end-side
pancreaticojejunostoy
and
contain
duct-mucosa
pancreaticojejunostomy invaginated pancreaticojejunostomy.
Results: Re-ananstomosis of pancreaticojejunostomy was performed on
8 patients during operation. Pan-creas fistula occurred on 3 patients, bile fistula occurred on 2 patients and 2 patients died. Conclusion: Individualized end-side pancreaticojejunostomy according to the local condition of the operation was optimal for pancreaticoduodenectomy. 【总页数】4页(198-201)
【关键词】胰十二指肠切除术;胰腺空肠吻合术
【作者】焦猛;刘毅;刘恩宇;郭森;刘炎锋;夏磊洲;杨辉;孟海鹏;陈雨信 【作者单位】山东大学齐鲁医院肝胆外科,山东 济南250012 【正文语种】中文 【中图分类】R615 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-current-advances-general-surgery_thesis/0201234337795.html 【相关文献】
1.改良胰肠吻合术中“悬吊式”胰管-空肠端侧连续缝合吻合在胰十二指肠切除术中的应用 [J], 应勇; 罗家芳; 张文红; 王小农; 何晓
2.改良端侧胰管空肠吻合胰十二指肠切除术20例临床分析 [J], 张健; 韩广森; 程勇; 阴明星
3.改良端侧胰管空肠吻合胰十二指肠切除术临床效果观察 [J], 李华桥
4.胰管—空肠黏膜对黏膜端侧吻合术在胰十二指肠切除术中的效果观察 [J], 刘养岁; 张昕辉; 李欢送; 齐敦峰
5.改良胰管空肠端侧吻合在胰十二指肠切除术中的应用 [J], 杨诏旭; 岳树强; 杨
雁灵; 陶开山; 窦科峰
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胰十二指肠切除胰腺空肠端侧吻合156例分析
