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胰十二指肠切除术后胰瘘的预防
引用本文:吴国忠,姜杰,庞绍春. 胰十二指肠切除术后胰瘘的预防[J]. 肝胆胰外科杂志, 2011, 23(3): 210-211,218
作者姓名:吴国忠  姜杰  庞绍春
作者单位:广东省农垦中心医院,普通外科,广东,湛江,524002
摘    要:目的 总结胰十二指肠切除术后胰瘘的预防经验.方法 回顾性分析1992年1月至2010年11月97例行胰十二指肠切除术的病例资料.结果 本组术后无胰瘘发生,术后肺部感染9例,腹部伤口感染6例(其中伤口裂开2例,右胸腔积液2例,胰腺残端出血、腹腔脓肿形成、胃排空延迟各1例),术后因高渗性昏迷死亡1例.结论 完全性胰液外引流...

关 键 词:胰十二指肠切除术  胰瘘  预防

Prevention of pancreatic fistula after pancreaticoduodenectomy
WU Guo-zhong,JIANG Jie,PANG Shao-chun. Prevention of pancreatic fistula after pancreaticoduodenectomy[J]. Journal of Hepatopancreatobiliary Surgery, 2011, 23(3): 210-211,218
Authors:WU Guo-zhong  JIANG Jie  PANG Shao-chun
Affiliation:.Department of General Surgery,Central Hospital of Guangdong Provincial Agricultural Reclamation,Zhanjiang 524002
Abstract:Objective To summarize the experience of preventing pancreatic fistula after pancreaticoduodenectomy.Methods Pancreatoduodenectomic clinical data from January 1992 to November 2010 were retrospectively analyzed in 97 cases.Results In this group of patients,no pancreatic fistula was found,postoperative pulmonary infection in 9 cases,abdominal wound infection in 6 cases,2 cases of whom resulted in wound dehiscence,right pleural effusion in 2 cases,pancreatic stump bleeding,formation of abdominal abscess and gastric emptying delayed in 1 case for each,2 died after surgery.Conclusion Prevention of pancreatic fistula with complete external drainage of pancreatic fluid after pancreaticoduodenectomy is a safe and reliable method,and can reduce hospitalization costs.
Keywords:pancreaticoduodenectomy  pancreatic fistula  prevention
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