| 捆绑式胰肠端侧吻合术 |
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| 引用本文： | 黄从云,彭淑牖,朱剑华,吴青松,赵家锋,张小龙. 捆绑式胰肠端侧吻合术[J]. 外科理论与实践, 2011, 16(5): 452-454. DOI: 10.16139/j.1007-9610.a2732 |
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| 作者姓名： | 黄从云 彭淑牖 朱剑华 吴青松 赵家锋 张小龙 |
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| 作者单位： | 广东省韶关市汕头大学医学院附属粤北人民医院肝胆外科;浙江大学医学院附属邵逸夫医院普外科; |
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| 摘 要： | 目的:介绍一种新型胰肠吻合术——捆绑式胰肠端侧吻合术,及其应用价值。方法:分析2009年3月至2011年3月间7例病人,其中5例行胰十二指肠切除,2例行胰腺中段切除,包括胰头癌3例、胰体癌2例、肿块型慢性胰腺炎2例。其中2例胰腺残端明显过大超过肠腔管径,2例行门静脉-肠系膜上静脉或脾静脉部分切除修补。操作包括3个主要步骤:胰腺残端游离,空肠系膜对侧肠壁切开及荷包缝线预置,胰肠端侧吻合(包括胰腺残端拖入空肠、吻合口两端肠壁固定于胰腺上、下缘后腹膜、浆肌层荷包缝线结扎捆绑)。结果:全组手术均顺利完成,无死亡。并发症包括:切口感染1例,切口疝1例,无胆漏和胰肠吻合口漏发生。结论:捆绑式胰肠端侧吻合术能有效地预防吻合口漏发生,特别是胰腺残端过大者,从而提高胰十二指肠切除术和胰腺中段切除术的安全性。
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| 关 键 词： | 胰十二指肠切除术 胰腺中段切除术 端侧吻合 捆绑式胰肠吻合术 |
End-to-side binding pancreaticojejunostomy |
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| HUANG Cong-yun,PENG Shu-you,ZHU Jian-hua,WU Qing-song,ZHAO Jia-feng,ZHANG Xiao-long. End-to-side binding pancreaticojejunostomy[J]. Journal of Surgery Concepts & Practice, 2011, 16(5): 452-454. DOI: 10.16139/j.1007-9610.a2732 |
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| Authors: | HUANG Cong-yun PENG Shu-you ZHU Jian-hua WU Qing-song ZHAO Jia-feng ZHANG Xiao-long |
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| Affiliation: | HUANG Cong-yun,PENG Shu-you,ZHU Jian-hua,WU Qing-song,ZHAO Jia-feng,ZHANG Xiao-long.1.Department of Hepatobiliary Surgery,the Affiliated Yuebei People's Hospital of Shantou University Medical College,Guangdong Shaoguan 512026,China,2.Department of General Surgery,Sir Run Run Shaw Hospital,Shool of Medicine,Zhejiang University,Zhejiang Hangzhou 310016 |
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| Abstract: | Objective To explore the value of a new surgical technique of end-to-side binding pancreaticojejunostomy in pancreaticoduodenectomy and middle segmental pancreatectomy.Methods From Mar 2009 to Mar 2011,7 patients(pancreatic head cancer in 3 cases,middle pancreatic cancer in 2 cases and mass-type chronic panereatitis in 2 cases) were performed with end-to-side binding pancreaticojejunostomy in pancreaticoduodenectomy(n=5) and middle segmental pancreatectomy(n=2),including partial resection and repair of the ... |
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| Keywords: | Pancreaticoduodenectomy Middle segmental pancreatectomy End-to-side anastomosis Binding pancreaticojejunostomy |
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