胰体尾切除术中胰腺断端处理方式对比分析

目的:对比胰体尾切除术中不同方式封闭胰腺断端的疗效.方法:回顾性分析158例接受胰体尾切除术患者资料,根据胰腺断端处理方式将病人分为手工缝合组(52例)、切割闭合器组(22例)和切割闭合器联合手工缝合组(31例),比较术后胰瘘发生率、术后住院时间、再次手术、死亡率等指标.结果:联合组胰瘘发生率小于手工缝合组及闭合器组,...

Comparative analysis of the treatment of the pancreatic remnant in distal pancreatectomy

Objective:To compare the effect of different closure methods of the pancreatic remnant in distal pancreatectomy.Methods:The clinical data of 158 patients who received distal pancreatectomy were analyzed retrospectively.Patients were divided into hand-sewn closure group(52 cases),stapler group(22 cases)and stapler closure combined with hand-sewn closure group(31 cases)according to the treatment of the pancreatic remnant.The incidence of postoperative pancreatic fistula,length of stay,re-operation and mortality were compared.Results:The incidence of pancreatic fistula in the combined group was lower than that in the hand-sewn group and the stapler group.The length of hospitalization in the combined group was less than that in the hand-sewn group.The stapler group was operated again in one case,and none of the three groups died within 30 days after operation.Conclusion:The use of stapler closure combined with hand-sewn closure to treatment of the pancreatic remnant is more effective in preventing the occurrence of postoperative pancreatic fistula and shortening the length of stay than that of hand-sewn closure and stapler closure alone in distal pancreatectomy.