Benissa Nadia, Hidraoui Khalid, Rifki-Jai Saad, Kafih Mohammed, Ouariti Zerouali Najib
Service des Urgences Viscérales Chirurgicales CHU Ibn Rochd, Casablanca, Maroc.
Tunis Med. 2004 Apr;82(4):363-7.
The risk of pancreaticojejunal anastomosis fistulization represents the main factor of mortality and morbidity after pancreatic resection. The pancreatogastrostomy represents a technical alternative that can be achieved easily. The purpose of our study is to report our experience of this technique and to analyse respectively 40 pancreactogastric anastomosis after 29 cephalic duodenopancreatectomies and 11 corporeocaudal pancreatectomies. The operative sequelae have been characterized by 5 cases (12.5%) of digestive hemorrhages, 3 cases (7.5%) of pancreatic fistula, 3 cases (7.5%) of intra-abdominal bleeding and a lymphorrhagia (2.5%). The operative mortality rate was about 5% (2 cases). These results are similar to the results reported in the literature by the users of this technique.
胰空肠吻合口漏的风险是胰腺切除术后死亡率和发病率的主要因素。胰胃吻合术是一种易于实施的技术替代方案。我们研究的目的是报告我们在该技术方面的经验，并分别分析29例胰头十二指肠切除术和11例胰体尾切除术后的40例胰胃吻合术。手术后遗症包括5例（12.5%）消化性出血、3例（7.5%）胰瘘、3例（7.5%）腹腔内出血和1例淋巴漏（2.5%）。手术死亡率约为5%（2例）。这些结果与该技术使用者在文献中报告的结果相似。
