改良胰腺空肠套入式吻合在胰十二指肠切除术中的应用

目的：探讨改良胰腺空肠套入式吻合方法在胰十二指肠切除术（PD）中的应用价值。方法：回顾性分析自2013年2月—2013年10月22例行PD术患者临床资料，其中术中采用常规胰腺空肠套入式吻合10例（传统组），采用改良的胰腺空肠套入式吻合12例（改良组），比较两组术后胰瘘发生率、手术时间、术中出血量及术后住院时间等情况。结果：两组患者术前一般资料具有可比性。与传统组比较，改良组术后胰瘘发生率明显降低，手术时间明显缩短（均P<0.05），而术中出血量、术后住院时间等方面差异无统计学意义（均P>0.05）。结论：PD术中使用改良的胰腺空肠套入式吻合方式可降低胰瘘发生率并缩短手术时间，值得临床应用。

Application of modified invagination pancreaticojejunostomy in pancreaticoduodenectomy

Objective: To evaluate the application value of the modified invagination pancreaticojejunostomy in pancreaticoduodenectomy (PD).Methods: The clinical data of 22 patients undergoing PD from February 2013 to October 2013 were retrospectively analyzed. Of the patients, 10 cases were subjected to traditional invagination pancreaticojejunostomy (traditional group) and 12 cases received the modified invagination pancreaticojejunostomy (modified group) during operation. The incidence of postoperative pancreatic fistula, operative time, intraoperative blood loss, and length of postoperative hospital stay between the two groups were compared.Results: The preoperative clinical data between the two groups were comparable. In modified group versus traditional group, the incidence of postoperative pancreatic fistula and operative time were significantly decreased (both P<0.05), while no statistical difference was noted in intraoperative blood loss and length of postoperative hospital stay (both P>0.05).Conclusion: Using modified invagination pancreaticojejunostomy in PD can reduce the incidence of postoperative pancreatic fistula and shorten the operative time, so it is recommended in clinical practice.