摘要
目的 :总结改良捆绑式胰肠吻合技术在老年壶腹周围癌行根治性手术中的疗效。方法 :回顾分析17例采用改良捆绑式胰肠吻合技术行根治性胰十二指肠切除的老年壶腹周围癌患者 ,观察术后并发症。结果 :17例采用改良捆绑式胰肠吻合技术行根治性切除者无 1例发生胰瘘 ,无围手术期死亡。全组病例的 1年 ,3年 ,5年生存率分别为 5 2 .9% ( 9/17) ,2 9.4 % ( 5 /17)及 11.8( 2 /17)。结论 :改良捆绑式胰肠吻合技术和恰当的围手术期处理 。
Objective:To summarize the effect of the modified binding pancreaticojejunostomy anastomosis technique in the operation for periampullar carcinoma in elderly patient.Methods:Modified binding pancreaticojejunostomy anastomosis technique was performed in 17 of 28 cases with periampullar carcinoma undergone radioal pancreatoduodenectomy and the complication was analyzed retrospectively from Mar.1999 to Jun.2003.Results:After one month to 5 years' follow-up,pancreatic leakage,abdominal infection and digestive tract fistula were not found,and no perioperative death occurred. The 1,3 and 5 years survival rates were 52.9%(9/17),29.4%(5/17) and 11.8%(2/17),respectively.Conclusion:The modified binding pancreaticojejunostomy anastomosis technique and appropriate treatment in peri-operative time may contribute to reduce postoperative pancreatic leakage and mortality rate in elderly patient.
出处
《肝胆胰外科杂志》
CAS
2004年第4期263-265,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
捆绑式胰肠吻合
壶腹周围癌
老年人
围手术期处理
binding pencreaticojejunostomy
Vater's ampullar carcinoma
elderly patient
perioperative management
