摘要
总结１０年中胰头十二指肠切除（Ｗｈｉｐｐｌｅ）术７６例。其中３０例用ＴＨ（α－氰基丙烯酸正丁酯）行残胰胰管栓塞术（栓塞组），４６例残胰和空肠行Ｃｈｉｌｅ法吻合术（吻合组）。结果，栓塞组无１例胰瘘和手术死亡。吻合组胰瘘５例，占１０．８７％，手术死亡４例（其中胰瘘者３例），手术死亡率为８．７０％。每例手术平均时间栓塞组比吻合组快５２分钟。由此说明：胰管栓塞具有预防Ｗｈｉｐｐｌｅ术后胰瘘、降低手术死亡率、简化手术程序等优点。
A total of 76 Whipple's operations have been performed by the authors over the past 10 years.Thirty cases were accomplished with complete occlusion of the pancreatic duct and the accessary duct as well with TH Resin (αcyanocrylic resin) during operation (occlusion group). Another 46 cases were dealt with conventional Child's pancreatojejunal anastomosis (anastomosis group).No fistula formation or death occurred in the occlusion group, while in the anastomosis group, there were 5 pancreatic fistulas and 4 operation deaths (3 died of pancreatic fistula) with a mortality rate of 8.70%. The mean operation time of the occlusion group was 52 minutes less than the anastomosis group.It is suggested that occlusion of the pancreatic duct during Whipple's operation has the advantage of simplicity and low mortality.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1998年第2期88-89,共2页
Chinese Journal of Clinical Oncology
基金
河南省科委科研立项课题
关键词
胰瘘
胰管栓塞
胰头十二指肠
外科手术
Whipple's operation Pancreatic fistula Occlusion of pancreatic duct
