Tanaka Tsuneo, Matsugu Yasuhiro, Fukuda Yasuhiko
Department of Surgery, Hiroshima Prefectural Hospital, 1-5-54 Ujinakanda, Minamiku, Japan.
Arch Surg. 2002 Nov;137(11):1258-61. doi: 10.1001/archsurg.137.11.1258.
To study whether the use of ultrasonically activated shears (UAS) would improve the safety of pancreatojejunal anastomosis after pancreaticoduodenectomy.
Retrospective analysis.
University teaching hospital.
Seventy patients underwent pancreaticoduodenectomy between April 1997 and May 2001.
Leakage of pancreatojejunal anastomosis as judged from the contents of the drain within 7 days after operation, and defined as a high amylase level of discharge that was 3 times higher than that of serum.
Leakage of pancreatojejunal anastomosis was observed in 1 (1.4%) of the 70 cases. Other complications were stomal ulcer, bile leakage, renal failure, and intra-abdominal abscess in one case each.
Use of UAS to perform pancreatectomy eliminates bleeding and pancreatic juice leakage from the branches of the pancreatic duct. Therefore, the cut surface of the pancreas is kept dry, simplifying anastomosis. Use of UAS improves the safety of pancreatojejunal anastomosis after pancreaticoduodenectomy.
研究使用超声激活剪（UAS）是否会提高胰十二指肠切除术后胰肠吻合术的安全性。
回顾性分析。
大学教学医院。
1997年4月至2001年5月期间，70例患者接受了胰十二指肠切除术。
根据术后7天内引流液的成分判断胰肠吻合口漏，定义为引流液淀粉酶水平高于血清淀粉酶水平3倍。
70例患者中有1例（1.4%）发生胰肠吻合口漏。其他并发症包括吻合口溃疡、胆漏、肾衰竭和腹腔内脓肿各1例。
使用UAS进行胰腺切除术可避免胰管分支出血和胰液渗漏。因此，胰腺切面保持干燥，简化了吻合过程。使用UAS可提高胰十二指肠切除术后胰肠吻合术的安全性。
