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| 胰十二指肠切除术胰漏的防治体会 | |
| 引用本文： | 韩文秀,孟翔凌,徐阿曼. 胰十二指肠切除术胰漏的防治体会[J]. 安徽医药, 2011, 15(4): 456-457 |
| 作者姓名： | 韩文秀 孟翔凌 徐阿曼 |
| 作者单位： | 安徽医科大学第一附属医院普外科,安徽,合肥,230022;安徽医科大学第一附属医院普外科,安徽,合肥,230022;安徽医科大学第一附属医院普外科,安徽,合肥,230022 |
| 摘 要： | 目的总结壶腹周围肿瘤行胰十二指肠切除术后胰漏的防治经验。方法对该院2006年5月~2010年5月行胰十二指肠切除术病例90例进行回顾分析。结果 90例病人手术后胰漏6例,发生率6.6%,手术死亡3例,死亡率3.3%。结论胰漏的预防关键在于胰腺残端游离充分,吻合层次精确,张力小,胰管常规引流。一旦发生胰漏,充分引流非常重要,消化道重建以Child术式为佳。 |
| 关 键 词： | 胰十二指肠切除术 胰漏 |
Prevention and treatment of pancreatic fistula for pancreato-duodenectomy |
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| HAN Wen-xiu,MENG Xiang-ling,XU A-man. Prevention and treatment of pancreatic fistula for pancreato-duodenectomy[J]. Anhui Medical and Pharmaceutical Journal, 2011, 15(4): 456-457 | |
| Authors: | HAN Wen-xiu MENG Xiang-ling XU A-man |
| Affiliation: | HAN Wen-xiu,MENG Xiang-ling,XU A-man(Department of General Surgery,The First Affiliated Hospital,Anhui Medical University,Hefei 230022,China) |
| Abstract: | Aim To sum up experience of prevention and treatment of early complications for pancreato-duodenectomy.Methods From 2006 to 2010,90 patients with peri-ampullar carcinoma treated by pancreato-duodenectomy were inveatigated.Results Pancreatic fistula occurred in 6 patients,with a morbidity of 6.6%.Three cases died,with a mortality of 3.3%.Conclusion Key means in prevention of pancreatic fistula include freeing the stump completely,minimizing the tension of anastomotic stoma,suturing the layers of anastomosis ... |
| Keywords: | pancreatico duodenectomy pancreatic fistula |
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