摘要
胰十二指肠切除术（PD）是目前治疗胰腺及壶腹周围良恶性肿瘤的主要方法，该手术复杂、并发症多且严重。其中胰瘘是影响患者术后恢复的主要因素，决定手术的成败。随着技术的不断发展，胰肠吻合的方式在不断改良，主要包括胰肠套入式吻合、胰管空肠黏膜吻合和捆绑式胰肠吻合，且各自有其优缺点及适应证。因此，遵从吻合方法的个体化原则是必要的。
Pancreaticoduodenectomy （PD） is the main method for treatment of the benign and malignant tumor of pancreas and periampullary. The operation is complicated, and complications are more and serious. Among the complications, the pancreatic fistula is the main factor influencing postoperative recovery and decides the operation effect. With the continuous development of technology, pancreaticojejunostomy shows continuous improvement, which includes invagination pancreaticojejunostomy, duct-to-mucosa pancreaticojejunostomy and binding pancreaticojejunostomy, and each has its advantages, disadvantages and indications. Therefore, it is necessary to abide by individualized principle for the methods of pancreaticojejunostomy.
出处
《中国医师进修杂志》
2016年第2期179-182,共4页
Chinese Journal of Postgraduates of Medicine
基金
国家自然科学基金（81571553）
关键词
胰十二指肠切除术
胰肠吻合
胰瘘
Pancreaticoduodenectomy
Pancreaticoenterostomy
Pancreatic fistula
