| 空肠腔内无胰腺断端裸露的胰肠吻合术的应用 |
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| 引用本文： | 金星林,张松男.空肠腔内无胰腺断端裸露的胰肠吻合术的应用[J].中国现代医学杂志,2007,17(9):1104-1105,1108. |
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| 作者姓名： | 金星林 张松男 |
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| 作者单位： | 吉林省延边大学医院,肝胆胰外科,吉林,延吉,133000 |
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| 摘 要： | 目的探讨空肠腔内无胰腺断端裸露的胰肠吻合术在胰十二指肠切除术中的安全性和实用性。方法57例行胰十二指肠Wipple式根治性切除，胰空肠吻合中，胰管内置引流管采取胰液经主胰管流出，空肠腔内无胰腺断端裸露，空肠胰残端套入吻合。结果无一例发生胰肠吻合口漏，术后随访均无胰管扩张或胰腺外分泌功能不足的表现。完成吻合时间平均20min。结论胰液经主胰管流出，空肠腔内无胰腺断端裸露的方法安全实用。
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| 关 键 词： | 胰十二指肠切除术 胰肠吻合术 胰漏 |
| 文章编号： | 1005-8982（2007）09-1104-02 |
| 收稿时间： | 2006-09-10 |
| 修稿时间： | 2006-09-10 |
Effect of no naked pancreatic surface in the cavity of jejunum on pancreaticojejunostomy |
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| JIN Xing-lin,ZHANG Song-nan.Effect of no naked pancreatic surface in the cavity of jejunum on pancreaticojejunostomy[J].China Journal of Modern Medicine,2007,17(9):1104-1105,1108. |
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| Authors: | JIN Xing-lin ZHANG Song-nan |
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| Institution: | Department of General Surgery, Yanbian University Hospital, Yanji, Jilin 133000, P.R.China |
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| Abstract: | Objective] To study the no naked pancreatic surface in the cavity of jejunum on pancreaticojejunostomy. Methods] Pancreaticoduodenctomy (Whipple's) was performed for 57 cases with pancreatic exocrine secretions following the pancreatic duct, there was no naked pancreatic surface in the cavity of jejunum, and jejunum ringed the pancreatic nub. Results] There was no anastomotic leakage. There was no dilatation of pancreatic duct or pancreatic enzyme deficiency shown during followed-up. The duration for accomplishing the anastomosis was 20 minutes averagely. Conclusion] The technique of no naked pancreatic surface in the cavity of jejunum and pancreatic secretions following the duct can be routinely used in any case with pancreaticoduodenectomy. |
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| Keywords: | Pancreaticeduedenectomy pancreaticojejunostomy leakage |
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