Kojima Y, Katayama K, Note M, Shimada H, Nakagawara G
First Department of Surgery Fukui Medical School, Japan.
Int Surg. 1992 Apr-Jun;77(2):80-3.
Some techniques of pancreaticojejunostomy have been introduced with reference to pancreatic leakage from the pancreaticojejunal anastomosis. Pancreatic leakage (+/- ) occurred in 21.4% of pancreaticojejunostomy patients and pancreatic leakage (+) in 9.5%. The frequency of pancreatic leakage tended to be higher in cases where the pancreatic duct was undilated and the remaining distal segment of the pancreas had a soft tissue. Pancreatic leakage led to secondary complication in none of the patients in our series, but further technical refinement of pancreaticojejunostomy is warranted to reduce the frequency of pancreatic leakage to zero.
针对胰肠吻合口胰漏问题，已引入了一些胰肠吻合技术。胰肠吻合术患者中，21.4%出现胰漏（±），9.5%出现胰漏（+）。在胰管未扩张且胰腺远端剩余部分为软组织的病例中，胰漏发生率往往更高。在我们的系列病例中，没有患者因胰漏导致继发并发症，但仍有必要进一步优化胰肠吻合技术，以将胰漏发生率降至零。
