改良式胰管空肠黏膜吻合术对胰十二指肠切除术后胰瘘发生的影响

目的探讨改良式胰管空肠黏膜吻合术对胰十二指肠切除术后胰瘘发生率的影响。方法回顾性分析78例胰十二指肠切除术患者的临床资料。胰肠吻合采用改良式胰管空肠黏膜吻合术(改良组)和传统胰空肠端侧吻合术(传统组)两种术式,分别观察两组术后胰瘘发生的情况及临床效果。结果改良组48例,术后出现并发症5例(10.4%),其中胰瘘1例(2.1%);传统组30例术后出现并发症11例(36.7%),其中胰瘘5例(16.7%),1例死于术后胰瘘并发腹腔感染、出血。其余患者均痊愈出院。结论改良式胰管空肠黏膜吻合术应用于胰十二指肠切除术中,术后胰瘘的发生率低,是预防胰十二指肠切除术后胰瘘发生的较好方法。

Effect of modified pancreaticojejunostomy on incidence of pancreatic fistula after pancreatoduodenectomy

Objective To explore the effect of a modified pancreaticojejunostomy on the incidence of pancreatic fistula after pancreatoduodenectomy.Methods The clinical data of 78 patients undergiong pancreaticojejunostomy were retrospectively analyzed.The anastomoses of pancreas and jejunum were performed by a modified pancreaticojejunostomy(modified group) or the conventional pancreaticojejunostomy(conventional group),respectively,and the incidences of pancreatic fistula and clinical outcomes of the two groups after ...