摘要
消化道重建是胰十二指肠切除术的重要组成步骤,其中胰腺与消化道的吻合又最为关键,它与术后胰瘘等并发症密切相关。胰腺与消化道吻合的主要方式为胰肠吻合和胰胃吻合。临床上胰肠吻合的方法很多,主要有经典的套入式胰肠吻合、导管对黏膜胰肠吻合和捆绑式胰肠吻合。但是没有哪一种术式明显优于其他,临床医生应根据自己的熟练程度和实际情况合理选择。
Digestive tract reconstruction is the main procedure of pancreaticoduodenectomy . Anastomosis of the pancreas is the key among all of reconstruction steps , which remains closely related to postoperative complications such as postoperative pancreatic fistula . Pancreaticojejunostomy and pancreaticogastrostomy are the two most frequently used techniques of reconstruction .There are many types of pancreaticojejunostomy , including the classical invagination pancreaticojejunostomy , duct-to-mucosa pancreaticojejunostomy and binding pancreaticojejunostomy .None of reconstruction techniques is considered to be superior to others .The choice of pancreas anastomotic technique should be based on the pancreatic surgeon＇s experience as well as the actual situation .
出处
《中华普外科手术学杂志（电子版）》
2015年第4期15-17,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胰腺肿瘤
胰十二指肠切除术
消化道重建
胰腺瘘
Pancreatic neoplasms
Pancreaticoduodenectomy
Digestive tract reconstruction
Pancreatic fistula
