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[慢性胰腺炎的外科治疗策略]

[Tactics of surgical treatment of chronic pancreatitis].

作者信息

Kubyshkin V A, Kriger A G, Kozlov I A, Tsygankov V N, Starkov Iu G, Gorin D S, Kochatkov A V, Berelavichus S V, Nedloluzhko I Iu, Varava A B, P'ianikin S S

出版信息

Khirurgiia (Mosk). 2013(1):17-24.

Abstract

585 patients were operated on the reason of chronic pancreatitis. 246 patients received various drainig operations: cystojejunostomy with Roux-en-Y anastomosis (n=97), longitudinal pancreatojejunostomy (n=86), external draining of the absceding postnecrotic cysts (n=51), internal draining (n=12). Resections of the pancreas were performed in 327 cases: Frey operation (n=83), Beger operation (n=46), pancreatoduodenal resection (n=61) - of them 55 were suspicious to cancer and 6 had pancreatic dystrophy. Distal resection of the pancreas was performed in 6 cases. 33 patients were operated on pseudoaneurisms, of the 12 patients received endovascular operations. Posoperative complications were registerd in 119 (20.3%) patients. 7 (1.2%) patients died.

摘要

585例患者因慢性胰腺炎接受手术治疗。246例患者接受了各种引流手术: Roux-en-Y吻合的囊肿空肠吻合术(n = 97)、纵行胰空肠吻合术(n = 86)、坏死性囊肿外引流术(n = 51)、内引流术(n = 12)。327例患者进行了胰腺切除术:Frey手术(n = 83)、Beger手术(n = 46)、胰十二指肠切除术(n = 61),其中55例怀疑有癌症,6例有胰腺营养不良。6例患者进行了胰腺远端切除术。33例患者接受了假性动脉瘤手术,其中12例接受了血管内手术。119例(20.3%)患者出现术后并发症。7例(1.2%)患者死亡。

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