Zhao Yu-Pei, Hu Ya, Liao Quan, Zhang Tai-Ping, Guo Jun-Chao, Cong Lin
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing 100730, China.
Zhonghua Wai Ke Za Zhi. 2008 Jan 1;46(1):24-6.
To determine the influence of hand-sewn and stapler in distal pancreatectomy on the postoperative complication.
Clinical data of 109 patients after distal pancreatectomy from January 2003 to December 2006 were analyzed retrospectively.
The surgical techniques used for closure of the pancreatic stump after distal pancreatectomy were categorized into hand-sewn closure group (n = 53) and stapler closure group (n = 56). In stapler closure group, 25 patients accepted laparoscopic operation. The incidences of abdominal infection and pancreatic fistulae in stapler closure group were lower than hand-sewn closure group. The operation time, blood infusion, postoperative bleeding and medical costs were similar between two groups.
Stapler closure in distal pancreatectomy could decrease the incidence of pancreatic fistula and abdominal infections.
确定远端胰腺切除术中手工缝合与吻合器对术后并发症的影响。
回顾性分析2003年1月至2006年12月109例远端胰腺切除术后患者的临床资料。
远端胰腺切除术后胰腺残端闭合所采用的手术技术分为手工缝合闭合组（n = 53）和吻合器闭合组（n = 56）。在吻合器闭合组中，25例患者接受了腹腔镜手术。吻合器闭合组的腹部感染和胰瘘发生率低于手工缝合闭合组。两组的手术时间、输血量、术后出血和医疗费用相似。
远端胰腺切除术中使用吻合器闭合可降低胰瘘和腹部感染的发生率。
