保留十二指肠的胰头切除术治疗胰腺分隔症并发慢性胰腺炎的疗效分析

目的探讨保留十二指肠的胰头切除术对胰腺分隔症并发慢性胰腺炎的治疗效果。方法回顾性分析 1989～ 1997年间 2 2例胰腺分隔症并发慢性胰腺炎患者接受保留十二指肠的胰头切除术的临床资料。结果本组术后平均住院时间为 13d ,无手术死亡 ,无严重并发症发生。术后随访 33个月 ,胰腺内分泌功能无明显变化 ,部分患者外分泌功能受损 ,腹痛分数由术前的 5 8± 1 1降为 3 4± 1 2 (P <0 0 5 )。结论保留十二指肠的胰头切除术是一种治疗胰腺分隔症并发慢性胰腺炎的理想手术

Duodenum-preserving pancreatic head resection for the treatment of chronic pancreatitis caused by pancreas divisum

ObjectiveTo evaluate the effect of duodenum-preserving pancreatic head resection (DPPHR) for patients with pancreas divisum (PD) and chronic pancreatitis (CP).MethodsFrom February 1989 to December 1997, 22 patients with PD and CP underwent DPPHR. PD was identified in all patients by endoscopic retrograde cholangio-pancreaticography (ERCP) or by magnetic resonance cholangio-pancreaticography (MRCP).ResultsThere was no mortality in all patients undergoing DPPHR, nor severe postoperative complications. Postoperatively pain relieved in all patients. Postoperative endocrine function was in integrity, while almost all patients needed enzyme substitution because of a reduced exocrine secretion. One patient had to be reoperated because of a strictured pancreatic duct anastomosis and a relapsing acute pancreatitis.ConclusionDPPHR is safe and effective for the treatment of patients with PD and CP.