保留幽门的胰十二指肠切除术与Whipple术早期疗效比较

目的 对保留幽门的胰十二指肠切除术及Whipple术后早期效果进行比较。方法：回顾性分析1994年12月—2003年12月接受胰十二指肠切除术连续123例病人的病历资料。结果：与Whipple术相比，保留幽门的胰十二指肠切除术的胃排空延迟发病率高，留置胃管时间长，术后前3d胃液引流量多，胆汁引流量少，但其手术时间及住院时间短。结论：对于壶腹周围肿瘤特别是良性肿瘤，早期治疗宜选择保留幽门的胰十二指肠切除术。

Comparison of early results after pylorus-preserving pancreatoduodenectomy and Whipple resection

Objective To compare the early postoperative results of pylorus-preserving pancreato duodenectomy with Whipple resection. Methods The data of 123 consecutive patients who underwent pancreatoduodenectomy from Dec. 1994 to Dec. 2003 were analyzed retrospectively. Results Compared with Whipple, pylorus-preserving pancreato-duodenectomy results in a higher incidence of delayed gastric emptying, more nasogastric tube drainage days, an increased volume of gastric drainage and decreased volume of biliary drainage during the first 3 postoperative days, but shorter operation time and hospital stay. Conclusion According to early postoperative results, pylorus-preserving pancreato-duodenectomy is a better choice for periampullary tumor, especially benign tumor.