【摘要】 目的 :防止胰十二指肠切除术 (Whipple手术 )并发胰空肠吻合口瘘。 方法 :在Whipple手术中 ,残胰胰管采用TH胶栓塞 ,胰腺残端缝合关闭 ,免除胰空肠吻合。结果 :共实行残胰管栓塞术 42例 ,无 1例术后胰瘘及手术死亡 ,术后恢复顺利 ,均痊愈出院 ;全部病例随访 1～ 8年 ,无糖尿病发生。服用胰酶片能维持正常消化功能 ,生活质量良好。结论 :残胰胰管栓塞术 ,可有效防止Whipple术后并发胰瘘 ,降低手术死亡率 ,是一种较为理想的术式。更多还原

【Abstract】 ?Objective:To study the prevention of fistula formation in pancreaticojejunal anastomose after duodenopancreactomy(Whipple’s operation).Methods:In duodenopancreactomy,the stump of pancreatic duct was injected with TH glue.Embolism was formed and the pancreatic duct was closed.Consequently the pancreaticojejunostomy was avoided.Results:This method was employed in 42 cases of Whipple’s operations.Not a single case of postoperative pancreatic fistula or operative death occurred,the rate of successful operation has been raised.Conclusions:The embolism formation of TH glue in pancreatic duct prevents effectively the complication of the pancreatic fistula in duodenopancreactomy and that reduces the operative mortality and time of hospitalization.更多还原