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胰、胆、胃、空肠Roux-Y吻合型胰十二指肠切除术30例报告
引用本文:MAYougang LIXiaosong 等. 胰、胆、胃、空肠Roux-Y吻合型胰十二指肠切除术30例报告[J]. 中德临床肿瘤学杂志, 2002, 1(3): 166-167. DOI: 10.1007/BF02851715
作者姓名:MAYougang LIXiaosong 等
作者单位:DepartmentofSecondBiliarySurgery,EasternHepatobiliarySurgeryHospital,Shanghai200438,China
摘    要:Objective To explore the ways how to decrease the morbidity and mortality of pancreaticoduodenectomy(PD).Medthods In 30 cases of PD,a free vascularized jejunal loop was used to pefform single loop Roux-Y anastomosis to reconstruct the digestive tract.Results The morality rate was xero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy.All patients were discharged from hospita 10-14 days after operation.Postoperative follow-up of long-term choronic complications showed only one patient(3.33%)suffered from chronic steatorrhea and malnutrition,the remaining 29 cases(96.67%)had a good function of digestion and normal nutrition.There were no cases of biler reflux gastric disease,retrograde infection,anastomostic ulcer of gastrojejunostomy,and dumping syndrome.Conclusion This surgical procedure can effectively reduce the morbidity and the mortality of PD.

关 键 词:胰腺癌 胰十二指肠切除术 消化道重建 Roux-Y吻合 术式
收稿时间:2002-01-14

Pancreaticoduodenectomy with roux-Y anastomosis to reconstruct the digestive tract: A report of 30 cases
Yougang Ma,Xiaosong Li,Han Chen,Mengchao Wu. Pancreaticoduodenectomy with roux-Y anastomosis to reconstruct the digestive tract: A report of 30 cases[J]. The Chinese-German Journal of Clinical Oncology, 2002, 1(3): 166-167. DOI: 10.1007/BF02851715
Authors:Yougang Ma  Xiaosong Li  Han Chen  Mengchao Wu
Affiliation:(1) Department of Second Biliary Surgery, Eastem Hepatobiliary Surgery Hospital, 200438 Shanghai, China
Abstract:Objective To explore the ways how to decrease the morbidity and mortality of pancreaticoduodenectomy(PD). Methods In 30 cases of PD, a free vascularized jejunal loop was used to perform single loop Roux-Y anastomosis to reconstruct the digestive tract. Results The morality rate was zero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy. All patients were discharged from hospital 10–14 days after operation. Postoperative follow-upoof long-term choronic complications showed only one patient (3.33%) suffered from chronic steatorrhea and malnutrition, the remaining 29 cases (96.67%) had a good function of digestion and normal nutrition. There were no cases of biler reflux gastric disease, retrograde infection, anastomostic ulcer of gastrojejunostomy, and dumping syndrome. Conclusion This surgical procedure can effectively reduce the morbidity and the mortality of PD.
Keywords:pancreaticoduodenectomy  pancreatic cancer  periampullary carcinoma  pancreatic fistula
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