摘要
目的探讨胰十二指肠切除术后不同胰肠吻合方式的安全性和可行性，为临床胰肠吻合方式的选择提供依据。方法纳入我院2010年1月～2014年11月行胰十二指肠切除术的患者50例，根据胰肠吻合方式不同分为两组组：捆绑式吻合组（25例）、常规吻合组（25例）。分析不同胰肠吻合方式对患者术后并发症发生情况及严重程度，以及患者手术出血量、手术时间、吻合时间、术后排气时间、进食流质时间、住院天数、吻合口大小及并发症情况。结果术后死亡1例，术后并发症的情况参照国际胰瘘研究小组（ISGPF）标准，捆绑式吻合组和常规吻合组的术后并发症发生率无明显不同；并发症中发生率最高的是胰漏。两组患者手术出血量、手术时间、吻合时间、术后排气时间、进食流质时间、住院天数等指标比较差异无统计学意义。结论胰十二指肠切除术后采用捆绑式吻合方式并不能显著减低术后发生胰漏的风险。
Objective To investigate the micro pancreaticoduodenectomy different way pancreaticojejunostomy the safety and feasibility, provide the basis for selection of clinical pancreaticojejunostomy way for. Methods Hospital from January 2010 to Novem- ber 2014 line pancreaticoduodenectomy of 50 patients, according to pancreaticojejunostomy divided into two groups in different ways： bundled anastomosis group （25cases） , conventional anastomosis group （25 cases）. Analysis of different ways pancreaticojejunostomy situation and the severity of the patients, and patients with blood loss, operative time complications, anastomotic time, postoperative exhaust time, the consumption of liquid time, length of stay, and complications were anastomotic size . Results One patients died af- ter surgery, postoperative complications： The reference to international pancreatic fistula Study Group （ISGPF） standard, incidence of postoperative complications bundled anastomosis group and conventional anastomosis groups no significantly different; the incidence of complications highest pancreatic leakage. Surgery patients were bleeding, operative time, anastomosis time, postoperative exhaust time, the consumption of liquid time, there were no indicators of number of days of hospitalization was no significant difference. Conclusion after pancreatoduodenectomy using bundled anastomosis did not significantly reduce the risk of postoperative pancreatic leak- age.
出处
《肝胆外科杂志》
2016年第2期141-144,共4页
Journal of Hepatobiliary Surgery
关键词
胰十二指肠切除术
并发症
吻合方式
胰漏
pancreaticoduodenectomy
complication
anastomosis
pancreatic leakage
