摘要
目的探讨消化道吻合器行胆肠吻合的可行性、操作方法及效果。方法对胰头癌、壶腹部肿瘤、胆石症等共118例次病人施行手术治疗，术中应用吻合器行包括胆肠端端、端侧、侧侧吻合术式的胆肠吻合。结果全组病例吻合器吻合成功，未出现吻合口胆瘘、胆道出血、狭窄等并发症。良性疾病远期随访亦未见不良后果。结论器械腔内吻合器行胆肠吻合省时、简便、可靠，可作为外科胆管空肠吻合重建的一种选择。
Objective To evaluate the feasibility, methods and effectiveness of using a mechanical stapler for choledochojejunostomy. Methods The authors have operated on 118 patients in the management of carcinoma of head of pancreas, or periampullary tumor, or eholelithiasis. In the operation, the bilio-enteric end-to-side, or end to-end and side-to-side anastomosis was made by a circular stapler device, and then a Roux-en-Y or Brown＇s loop was formed for the precedure. Results All the surgery of using stapler was done successfully. No postoperative complications such as stomal leak, bleeding and narrow were found. Meanwhile, no harmful consequences were observed through long- time follow up. Conclusion Using mechanical stapler for bilio-intestinal anastomosis is time-saving, simple and reliable. It can be a choice for some diseases.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2010年第3期188-190,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
外科器械
吻合器
胆肠吻合术
Surgical instruments
Intraluminal stapler
Choledochojejunostomy
