不切开十二指肠施十二指肠乳头旁憩室切除18例报告

【摘要】目的介绍一种简便安全的十二指肠乳头旁憩室外科治疗方法。方法回顾性分析近2年间湖南省人民医院行十二指肠乳头旁憩室切除18例患者的临床资料。结果本组患者年龄（55．5±11．2）岁，18例均作憩室切除，无手术死亡病例，手术时间（2．54±0．6）h，失血量（35．14±14．2）ml。术后无胆漏、胰漏、出血、胰腺炎等并发症。16例获得随访，随访时间（10．5±2．0）个月，效果优良率达100％。结论不切开十二指肠施十二指肠乳头旁憩室切除是治疗十二指肠乳头旁憩室的理想术式。

Good maneuver on diverticulectomy for juxtra-papillary duodenal diverticulum： a report of 18 cases

Abstract] Objective To explore a convenient and safety way for surgical treatment of juxtra-pa- pillary duodenal diverticulum. Methods A total of eighteen patients with juxtra-papillary duodenal diver- ticulum admitted to Hunan Provincial People＇s Hospital from May 2011 to May 2013 were involved in this study for retrospective analysis. Results Most of patients were old people and the average age was （55.5 ± 11.2） years in this group. All 18 patients accepted divert4culectomy without operation-mortality. No post- operative complications such as bleeding, duodenal fistula, biliary fistula and traumatic pancreatitis were happened. The average operation time was （2. 5 ± 0. 6） hours. The average blood loss was （35.1 ± 14. 2） ml. A total of 16 patients had been accepted follow-up survey. Mean length of follow-up was （10. 5 ±2. 0） months. Good result rate was 100%. Conclusions Do-not-open the duodenum diverticulectomy is the ide- al surgical treatment of juxtra-papillary duodenal diverticulum.