【摘要】 目的探讨胰十二指肠切除术技术改进的可行性、安全性及疗效。方法2004年1月至2007年6月,我科实施胰十二指肠切除术73例,并在手术中采用改良的端端套入式胰肠吻合和改良的胃肠吻合技术。观察术后各种并发症的发生率,对该改进方式的可操作性、安全性进行评估。结果73例病人均未发生围手术期死亡。手术并发症共18例次,发生率与报道的传统方法相近。结论在胰十二指肠切除术手术过程中,与传统的手术方法相比,胰肠单层吻合和胃肠双层吻合技术结合生物胶的应用可以有效地缩短手术时间,减少胰漏、预防肠漏等严重并发症的发生。该技术简单易行,安全可靠,具有一定的临床推广价值。更多还原

【Abstract】 Objective To evaluate the feasibility, safety and therapeutic effect of improved pancreaticoduodenectomy in the treatment of pancreatic diseas. Methods From January 2004 to June 2007,73 cases of pancreaticoduodenectomies were performed in our institute. The improved end-to-end pancreaticojejunostomy and double-layer gastrojejunostomy was adopted in the reconstruction of digestive tract. The incidence of postoperative complications were observed, and the operative feasibility and safety were evaluated. Results There were 18 cases of complication after operation, but no serious complication occurred, such as biliary fistula, intestinal fistula or mortality. The incidence of complication was similar to the classic technique. Conlusions In the process of pancreaticoduodenectomy, the single-layer pancreaticojejunostomy and double-layer gastrojejunostomy togeher with the usage of albumin gel could shorten the operating period and prevent the incidence of serious complications such as pancreatic fistula and biliary fistula. This improved technique was feasible and safety and had a high value in clinic.更多还原