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胰十二指肠切除术中不使用移植物的长肠系膜门静脉切除及端端吻合术。

Long mesentericoportal vein resection and end-to-end anastomosis without graft in pancreaticoduodenectomy.

作者信息

Zhang Ji, Qian Hong-Gang, Leng Jia-Hua, Cui Ming, Qiu Hui, Zhou Guo-Quan, Wu Jian-Hui, Yang Yong, Hao Chun-Yi

机构信息

Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Hepato-pancreato-biliary Surgery, Peking University School of Oncology, Beijing Cancer Hospital & Institute, #52, Fu-Cheng-Lu Street, 100036, Beijing, China.

出版信息

J Gastrointest Surg. 2009 Aug;13(8):1524-8. doi: 10.1007/s11605-008-0777-3. Epub 2008 Dec 11.

DOI:10.1007/s11605-008-0777-3
PMID:19082669
Abstract

INTRODUCTION

The feasibility and safety of pancreaticoduodenectomy (PD) combined with long segmental mesentericoportal vein (MPV; >5 cm) resection and end-to-end anastomosis without graft has rarely been demonstrated.

MATERIALS AND METHODS

Eight patients with pancreatic head adenocarcinoma underwent PD combined with long MPV resection between August 2006 and May 2008 in Peking University School of Oncology.

RESULTS

By liver mobilization and Cattell-Braasch maneuver, direct and tension-free end-to-end anastomosis was easily performed even when the resected segment of the MPV was longer than 5 cm. All the eight patients experienced uneventful recovery without severe complications.

CONCLUSIONS

PD with long MPV resection and direct end-to-end anastomoses is safe and effective.

摘要

引言

胰十二指肠切除术（PD）联合长节段肠系膜门静脉（MPV；>5cm）切除及无移植的端端吻合术的可行性和安全性鲜有报道。

材料与方法

2006年8月至2008年5月期间，北京大学肿瘤医院有8例胰头腺癌患者接受了PD联合长节段MPV切除术。

结果

通过肝脏游离和卡特-布腊施手术，即使切除的MPV段长度超过5cm，也能轻松进行直接且无张力的端端吻合。所有8例患者均顺利康复，无严重并发症。

结论

PD联合长节段MPV切除及直接端端吻合术安全有效。

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Venous resection in pancreatic cancer surgery.胰腺癌手术中的静脉切除
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Early retropancreatic dissection during pancreaticoduodenectomy.胰十二指肠切除术中的早期胰后间隙解剖
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