摘要
目的探讨新型改良捆绑式胰肠吻合术在防止胰瘘、减少并发症方面的临床价值。方法2000年1月￣2006年12月我院在胰腺离断、断面处理、残胰周围血管处理及引流方面改良了彭氏Ⅱ型的方法,手术30例。现对临床资料进行回顾性分析,观察术后胰瘘、胆瘘、腹腔出血等并发症的发生率。结果30例中,发生胰瘘1例(3.3%),胆瘘2例(6.7%),腹腔出血4例(13.3%),腹腔积液(非化脓性)22例(73.3%),肝脓肿2例(6.7%),存活率100%。结论新改良捆绑式胰肠吻合在胰腺处理及胰肠套入等多个手术环节上改良了原彭氏Ⅱ型法,取得了较好的效果。
Objective To evaluate the feasibility and safety of the new “Modified Peng＇ binding technique” in pancreaticoduodenectomy. Methods Pancreaticoduodenectomy with the new “Modified Peng＇ binding technique” was performed on procedures of pancreatic stump, mutilation, vessels of peripancreas, drainage in 30 series from January 2000 to December 2006 and the complications about pancreatic leakage, biliary leakage, gastrointestinal bleeding were analyzed. Results The rate of pancreatic leakage, biliary leakage and gastroin- testinal bleeding, abdominal hydrocele, hepatic abscess, survival rate were 3.3%, 6.7%, 13.3%, 73.3%, 6.7% and 100%. Conclusion The new Modified Peng＇ binding pancreaticoduodenectomy is superior to Peng＇ binding pancreaticoduodenectomy.
出处
《肝胆胰外科杂志》
CAS
2008年第3期181-183,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
胰十二指肠切除术
改良捆绑式胰肠吻合
胰瘘
胆瘘
腹腔出血
pancreaticoduodenectomy
modified binding technique on pancreaticojejunostomy
pancreatic leakage
biliary leakage
gastrointestinal bleeding
