Mackie J A, Rhoads J E, Park C D
Ann Surg. 1975 May;181(5):541-5. doi: 10.1097/00000658-197505000-00006.
The anastomosis between the remaining pancreas and the intestinal tract after various types of pancreatic resection has been the site of complications responsible for considerable morbidity and mortality. After Whipple resections reestablishment of pancreatic-intestinal continuity has generally been accomplished in some manner between the pancreas and upper jejunum. This suture line has at times failed, often as the result of postoperative pancreatitis, giving rise to hemorrhage, abscess, and fistula formation. Since 1963, 25 patients undergoing pancreaticoduodenal resection have had some portion of their pancreas implanted into the back wall of the stomach. The operations have been done by the resident and senior staff of the Department of Surgery at the University of Pennsylvania. Morbidity has decreased and operative mortality has fallen from 20-30% to 8%. The technique is not difficult and there seems to be less tendency for the anastomosis to leak. Pancreatic function is usually adequate. The procedure is useful after radical resection of the pancreaticoduodenal region or at times after pancreatic trauma.
各类胰腺切除术后，剩余胰腺与肠道的吻合口一直是导致相当高发病率和死亡率的并发症发生部位。在惠普尔手术后，胰腺与空肠上段之间通常以某种方式重建了胰肠连续性。这条缝合线有时会失败，通常是术后胰腺炎的结果，进而导致出血、脓肿和瘘管形成。自1963年以来，25例接受胰十二指肠切除术的患者将部分胰腺植入胃后壁。这些手术由宾夕法尼亚大学外科系的住院医师和资深 staff 完成。发病率有所下降，手术死亡率从20%-30%降至8%。该技术并不困难，吻合口漏的倾向似乎也较小。胰腺功能通常足够。该手术在胰十二指肠区域根治性切除术后或有时在胰腺创伤后很有用。
