慢性胰腺炎外科手术治疗的新进展

近年来,外科手术已经被视为治愈慢性胰腺炎的有效疗法。胰头是慢性炎症持续存在的根源,近端胰十二指肠切除术、保留十二指肠的胰头切除术和胰头中心部分切除、胰管空肠侧侧吻合术均能将胰头去除,并保证了远端胰管的通畅引流,因此在减轻慢性疼痛和防治并发症方面同样有效,而且后二者还能降低术中并发症以及术后糖尿病的发生率。

The Progress in Surgery of Chronic Pancreatitis

Until recently,surgery was considered the last resort of chronic pancreatitis.The head of the pancreas has been addressed as the nidus of persistent inflammation.All of the pancreatico-duodenectomy,duodenum-preserving pancreatic head resection,and local resection of the pancreatic head with extended longitudinal pancreatico-jejunostomy can remove the source of chronic inflammatory changes and provide drainage for the distal ductal system,thus relieve the pain and avoid accompanied complications,moreover,the...