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胰肠一层连续降落伞吻合法在胰十二指肠切除术中的应用
引用本文:刘红权,谢元才,夏来阳,赖承治.胰肠一层连续降落伞吻合法在胰十二指肠切除术中的应用[J].赣南医学院学报,2012,32(2):233-234.
作者姓名:刘红权  谢元才  夏来阳  赖承治
作者单位:刘红权 (赣州市人民医院普外一科,江西 赣州,341000) ; 谢元才 (赣州市人民医院普外一科,江西 赣州,341000) ; 夏来阳 (赣州市人民医院普外一科,江西 赣州,341000) ; 赖承治 (赣州市人民医院普外一科,江西 赣州,341000) ;
摘    要:目的:探讨胰肠一层连续降落伞吻合法临床应用效果。方法:收集本院2009年1月至2011年8月行胰十二指肠切除术患者临床资料21例,均采用胰肠一层连续降落伞法吻合,分析患者胰肠吻合时间、术后并发症各指标。结果:胰肠一层连续降落伞法吻合时间(8.0+2.0)min,无胰瘘,胆瘘1例,上消化道出血1例。结论:胰肠一层连续降落伞法吻合能明显缩短手术时间,减少术中创伤,有效降低胰瘘发生率。

关 键 词:胰肠一层连续降落伞吻合法  胰十二指肠切除术  胰瘘

The application of one layer continuous pancreas-intestine parachute-like anastomosis in pancraticoduodenectomy
Institution:LIU Hong-quan,XIE Yuan-cai,XIA Lai-yang,et al (Ganzhou People’s Hospital,Ganzhou,Jiangxi 341000)
Abstract:Objective:To study the clinical effects of one layer continuous pancreas-intestine parachute-like anastomosis.Methods:21 cases received pancreaticoduodenectomy from Juanary,2009 to August,2011 were analyzed.One layer continuous pancreas-intestine parachute-like anastomosis was conducted for all these 21 cases,and items including the operating time and postoperative complications were analyzed.Results:The average operating time was(8.0+2.0) min.There was no pancreatic leakage.One bile leakage and one upper gastrointestinal hemorrhage were identified.Conclusion:One layer continuous pancreas-intestine parachute-like anastomosis significantly decreased operating time and intraoperative injury,and efficiently decreased pancreatic leakage rate.
Keywords:one layer continuous pancreas-intestine parachute-like anastomosis  pancreaticoduodenectomy  pancreatic leakage
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