摘要
目的分析采用胰肠吻合口大网膜缠绕技术,预防胰十二指肠切除术后胰瘘的效果。方法 70例行胰十二指肠切除术患者,随机分为两组,实验组(n=35)胰肠吻合后,吻合口用大网膜缠绕,对照组(n=35)仅行胰肠吻合,比较两组胰瘘的发生率。结果两组患者胰管直径及胰腺质地比较差异无统计学意义,手术时间及术中失血量比较差异亦无统计学意义。发生胰瘘实验组2例(5.7%),对照组5例(14.3%),两组比较,差异有统计学意义(P<0.05)。结论采用胰肠吻合口大网膜缠绕技术操作简单,可降低胰瘘的发生率。
Objective To investigate the efficacy of the omental roll-up technique in pancreati- eojejunostomy on preventing postoperative pancreatic fistula. Methods A total of 70 patients underwent panereatieoduodenectomy and pancreatieojejunostomy. Patients were randomly divided into two groups, including experimental group with omental roll-up technique （ n = 35 ） and control group without it （ n = 35 ）. The rate of pancreatic fistula was compared between the two groups. Results There were no signifi- cant differences in the pancreatic duct diameter and pancreatic texture between the two groups. There was no significant difference in operation time or blood loss between the two groups. There were 2 cases of pan- creatic fistula in the experimental group （5.7%） , which was significantly lower than that in the control group （5 cases,ll. 3% ）. Conclusion Omental roll-up technique is easy and safe. It can decrease the rate of pancreatic fistula and it is worth applying in pancreaticojejunostomy.
出处
《临床外科杂志》
2016年第1期39-41,共3页
Journal of Clinical Surgery
基金
辽宁省科学技术计划项目(2013225021)
关键词
胰肠吻合
大网膜缠绕
胰十二指肠切除术
pancreatieojejunostomy
omental roll-up
pancreatieoduodenectomy
