Adloff M, Schloegel M, Ollier J C, Cuvelier G
Service de Chirurgie, C.M.C.O., Schiltigheim.
Chirurgie. 1992;118(1-2):63-70.
The propensity for leakage at the site of pancreatojejunostomy continues to be a major reason for morbidity and death after pancreaticoduodenectomy. Pancreatogastrostomy has been introduced as a possible alternative to pancreatojejunostomy and although this procedure was developed experimentally more than 50 years ago its use has not gained widespread clinical use. The purpose of this study was to evaluate the role of pancreatogastrostomy. Pancreatogastrostomy was performed in 15 patients with pancreatic resection for carcinoma and compared with 57 pancreatojejunostomy. Our experience confirms that pancreatogastrostomy is a safe and easy method and suggest that it may be used more frequently.
胰肠吻合口处的渗漏倾向仍然是胰十二指肠切除术后发病和死亡的主要原因。胰胃吻合术已作为胰肠吻合术的一种可能替代方法被引入，尽管该手术在50多年前就已通过实验开发出来，但其应用尚未得到广泛的临床应用。本研究的目的是评估胰胃吻合术的作用。对15例因癌行胰腺切除术的患者实施了胰胃吻合术，并与57例胰肠吻合术进行了比较。我们的经验证实，胰胃吻合术是一种安全且简便的方法，并表明它可能会被更频繁地使用。
