Shimada K, Yamamoto J, Kosuge T, Sugawara Y, Yamasaki S
Department of Surgery, National Cancer Center Hospital, Tokyo, Japan.
Hepatogastroenterology. 2000 Jul-Aug;47(34):1156-8.
The management of the cut stump after a subtotal left-side pancreatectomy is sometimes difficult compared with that after distal pancreatic resection, which is performed at or to the left of the superior mesenteric vein. This report describes a simple and effective drainage method of leaking pancreatic juice from the cut stump after subtotal left-side pancreatectomy for pancreatic adenocarcinoma located in the body and tail. Since July 20, 1994, we have applied this method to 12 patients with carcinoma of the body and tail of the pancreas other than the present case and as yet have never experienced serious postoperative complications.
与在肠系膜上静脉或其左侧进行的胰腺远端切除术相比,左侧胰腺次全切除术后残端的处理有时会比较困难。本报告描述了一种简单有效的引流方法,用于处理因位于胰体尾的胰腺腺癌行左侧胰腺次全切除术后残端胰液渗漏的情况。自1994年7月20日以来,除本病例外,我们已将该方法应用于12例胰体尾癌患者,且至今尚未出现严重的术后并发症。