摘要
目的探讨双针全层胰肠吻合术在腹腔镜胰十二指肠切除术中的应用效果.方法回顾性分析2016年1月至2019年9月福建省立医院收治的82例腹腔镜胰十二指肠切除术行双针全层胰肠吻合术患者的临床病理资料.结果82例均顺利完成手术,平均手术时间为(321±55)min,其中双针全层胰肠吻合术平均时间为(22±6)min,术中平均出血量为(185±96)ml.术后11例患者出现胰瘘,其中7例生化瘘,3例B级胰瘘,1例C级胰瘘.术后平均住院时间(13±5)d.82例患者均获得随访,中位随访时间9个月(1~44个月),2例胰头癌术后复发,其余患者无肿瘤复发,且均健在.结论双针全层胰肠吻合术应用于腹腔镜胰十二指肠切除术安全、有效.
Objective To investigate the clinical efficacy of double-stitch full-layer pancreaticojejunostomy(DSFLPJ)in laparoscopic pancreaticoduodenectomy.Methods The clinicopathological data of patients who underwent laparoscopic pancreaticoduodenectomy with DSFLPJ from Jan 2016 to Sep 2019 in Fujian Provincial Hospital were retrospectively analyzed.Results Procedures were successfully performed in 82 patients.The average operation time was(321±55)minutes,among which the mean DSFLPJ time was(22±6)minutes.Intraoperative blood loss was(185±96)ml.Pancreatic fistula occurred in 11 patients,7 with Grade A,3 with Grade B and 1 with Grade C.The average postoperative hospital stay was(13±5)days.After the median follow-up of 9 months(1 to 44 months),two patients of pancreatic head cancer suffered recurrence.Conclusions DSFLPJ is a safe and effective method in laparoscopic pancreaticoduodenectomy.
作者
吴嘉艺
严茂林
陈实
肖德贤
白燕南
王耀东
Wu Jiayi;Yan Maolin;Chen Shi;Xiao Dexian;Bai Yannan;Wang Yaodong(The Shengli Clinical Medical College of Fujian Medical University,Fuzhou 350001,China;Department of Hepatobiliary Surgery,Fujian Provincial Hospital,Fuzhou 350001,China)
出处
《中华普通外科杂志》
CSCD
北大核心
2020年第5期362-365,共4页
Chinese Journal of General Surgery
基金
福建省自然科学基金(2017J01244)
福建省卫生计生委创新课题(2018-CX-8)。
