| 胰管空肠端侧粘膜-粘膜吻合35例临床分析 |
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| 引用本文： | 杨琦,彭正,席浩,张澜波.胰管空肠端侧粘膜-粘膜吻合35例临床分析[J].中日友好医院学报,2011,25(4):213-215. |
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| 作者姓名： | 杨琦 彭正 席浩 张澜波 |
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| 作者单位： | 1. 北京市顺义区医院普外科,北京,101300
2. 北京大学第一医院普外科,北京,100034 |
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| 摘 要： | 目的：探讨胰管空肠端侧粘膜-粘膜吻合法在胰十二指肠切除术中的应用。方法：回顾性分析2001年～2010年间应用胰管空肠端侧粘膜-粘膜吻合法行胰十二指肠切除术的患者病历,统计胰瘘及其他并发症的发生情况。结果：10年间行常规胰十二指肠切除（Whipple）术35例,3例（8.6%）发生胰瘘,经保守治疗痊愈。其他并发症包括腹腔内出血2例（5.7%）,应激性溃疡4例（11.4%）,胆瘘2例（5.7%）,淋巴漏3例（8.6%）,肺部感染5例（14.3%）,胃排空障碍3例（8.6%）,急性呼吸窘迫综合征（ARDS）1例（3.9%）,肝肾功能不全4例（11.4%）。病死1例（3.9%）,死于术后ARDS。结论：胰管空肠端侧粘膜-粘膜吻合法能较有效地防止胰瘘的发生。
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| 关 键 词： | 胰十二指肠切除术 术后并发症 胰肠吻合 |
Clinical analysis of 35 end-to-side cases anastomosis of pancreatic duct-to-mucosa pancreaticoduodenum |
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| YANG Qi,PENG Zheng,XI Hao,et al.Clinical analysis of 35 end-to-side cases anastomosis of pancreatic duct-to-mucosa pancreaticoduodenum[J].Journal of China-Japan Friendship Hospital,2011,25(4):213-215. |
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| Authors: | YANG Qi PENG Zheng XI Hao |
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| Institution: | YANG Qi,PENG Zheng,XI Hao,et al Department of General Surgery,Shunyi District Hospital,Beijing 101300,China |
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| Abstract: | Objective:To investigate the effect and safety of duct-to-mucosa pancreaticoduodenum(PD).Methods:The clinical data of 35 cases undergoing end-to-side pancreatieojejunostomy PD in the hospital from 2001 to 2010 were analyzed retrospectively,including pancreatic fistula and other complications.Results:Totally 35 Whipple procedures were performed,3 cases developed pancreatic fistula with an incidence of 8.6%,all recovered after conservative management.Other complications included intraabdominal bleeding in 2 c... |
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| Keywords: | pancreaticoduodenum postoperative complications panereatieojejunostomy |
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