保留Latarjet神经及幽门的胰十二指肠切除术

目的 探讨保留Latarjet神经及幽门的胰十二指肠切除术的临床疗效.方法 回顾性分析1996年以来施行保留Latarjet神经及幽门的胰十二指肠切除术(latarjet nerve and pylous preserved pancreati-ceduodenectomy,LPPPD)32例临床资料和术后随访,并与同期施行的保留幽门的胰十二指肠切除术(pylompreserved panereaticoduodeneetomy,PPPD)36例进行疗效比较.结果 术后胃肠功能恢复时间LPPPD组平均5 d,较PPPD组平均8 d明显快(t=3.01,P<0.05);术后饱胀、胃液滞留及肠胃反流率LPPPD组均较PPPD组明显低(P<0.005).结论 LPPPD术后胃肠功能恢复快,并发症少,其疗效明显优于PPPD.

Latarjet nerve and pylous preserved pancreaticoduodenectomy

Objective To investigate the therapeutic effects of latarjet nerve and pylous preserved pancreaticoduo-denectomy (LPPPD). Methods Clinical data and postoperative follow-up of Latarjet nerve and Pylous Preserved Pancreaticoduodenectomy since1996 of 32 cases were analyzed retrospectively, and 36 cases being carried out con-temporaneous Pylous Preserved Pancreaticeduodenectomy(PPPD) were compared with. Results The recovery time of postoperative gastrointestinal function recory time is five days of LPPPD group on average; but the time is eight days of PPPD group on average, and significantly slower than LPPPD group ( t = 3.01, P < 0.05 ) ; the occurrence of abdominal distenal, retention of gastric juice and enterogastric recurrent flow are significantly slower in LPPPD group than that in PPPD group( P < 0.05 ). Conclusion The postoperative gastrointestinal function recovered fas-ter, and the postoperative complications were less in LPPPD group than that in PPPD group.