胰十二指肠切除术肠胰吻合术式的探讨

目的探讨胰十二指肠切除后的肠胰吻合的合理术式.方法回顾分析1996年1月-2003年12月施行的108例胰十二指肠切除手术行套入捆绑式肠胰吻合者的临床资料.结果手术时间为3.5～4.5h.无围手术期死亡.无胰瘘发生;1例糖尿病患者术后第8天发生胆瘘经引流自愈;切口裂开2例,经行切口减张缝合后愈合;2例术后发生胃瘫,经保守治疗治愈.结论套入捆绑式肠胰吻合手术方式能够较好的预防胰瘘,且手术时间明显缩短.

A study on a method of pancreatico-jejunostomy after pancreatoduodenectomy

Objective To study a rational method of pancreaticojejunostomy after pancreatoduodenectomy. Methods Retrospective analysis was made on the clinical material of 108 cases of bundle-invagination pancreaticojejunostomy after pancreatoduodenectomy performed from Jan 1996 to Dec 2003 in our department. Results The operative time was 3. 5 - 4. 5 hours. No perioperative death nor pancreatic fistula occurred. One diabetic patient developed biliary fistula on the 8^th post-operative day and it healed spontaneously after drainage. Two cases had wound dehiscence that healed after tension relaxation suture. Two cases of postoperative gastroparesis recovered after conservative treatment. Conclusions The bundle-invagination pancreaticojejunostomy can more effectively prevent pancreatic fistula and have less operation time.