改良Child式胰肠吻合术预防胰十二指肠切除术后胰漏
Prevention of pancreatic leakage after pancreaticoduodenectomy by modified Child pancreaticojejunostomy.
作者信息
Yang Yan-Ling, Xu Xiao-Ping, Wu Guo-Qiang, Yue Shu-Qiang, Dou Ke-Feng
机构信息
Department of Hepatobiliary Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
出版信息
Hepatobiliary Pancreat Dis Int. 2008 Aug;7(4):426-9.
BACKGROUND
Pancreatic leakage after pancreaticoduodenectomy is associated with a morbidity and mortality. Different techniques have been used to make a safe anastomosis to the left pancreatic remnant.
METHODS
We performed "modified Child pancreaticojejunostomy" for 31 patients, by which end-to-end pancreaticojejunal anastomosis was made with a two-layer polypropylene continuous running suture.
RESULTS
In the patients who underwent pancreaticojejunostomy, the average operative time was 14.2 minutes. There was no pancreaticoenterostomy leakage in all patients, and no deaths occurred.
CONCLUSIONS
In pancreaticojejunostomy, pancreatic anastomosis is time-saving and free from complications. Thus it is an improvement of pancreaticojejunostomy.
背景
胰十二指肠切除术后胰漏与发病率和死亡率相关。已采用不同技术对左胰腺残端进行安全吻合。
方法
我们对31例患者实施了“改良Child式胰肠吻合术”，采用两层聚丙烯连续缝合进行胰肠端端吻合。
结果
接受胰肠吻合术的患者平均手术时间为14.2分钟。所有患者均未发生胰肠吻合口漏，也未发生死亡。
结论
在胰肠吻合术中，胰腺吻合省时且无并发症。因此它是胰肠吻合术的一种改进。
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