使用镰状韧带补片预防远端胰腺切除术中胰瘘的新型手术技术
Novel surgical technique to prevent pancreatic fistula in distal pancreatectomy using a patch of the falciform ligament.
作者信息
Fujino Yasuhiro, Sendo Hiroyoshi, Oshikiri Taro, Sugimoto Takemi, Tominaga Masahiro
机构信息
Department of Surgery, Hyogo Cancer Center, 13-70 Kitaoji-cho, Akashi, 673-6558, Japan,
出版信息
Surg Today. 2015 Jan;45(1):44-9. doi: 10.1007/s00595-014-0942-0. Epub 2014 Jun 10.
PURPOSE
Pancreatic fistula (PF) is a serious complication of pancreatectomy and many techniques and devices have been designed to prevent PF and abdominal bleeding after pancreatectomy. We report a modified technique using a patch of the falciform ligament to prevent PF formation after distal pancreatectomy (DP).
METHOD
On completion of DP, the main pancreatic duct is sutured. The remnant pancreas is then closely patched and sutured vertically to the falciform ligament using 3-0 polypropylene suture. We compared the results of this method (group 1) with those of the simple method of covering the remnant pancreas with the falciform ligament (group 2).
RESULTS
We performed this method in 14 patients undergoing DP. The rate of grade B or C PF in group 1 (7.1 %) was lower than that in group 2 (46 %).
CONCLUSION
This is a simple and effective method of preventing PF fistula in DP.
目的
胰瘘（PF）是胰腺切除术的一种严重并发症，人们设计了许多技术和装置来预防胰腺切除术后的胰瘘和腹腔出血。我们报告一种改良技术，使用镰状韧带补片预防胰体尾切除术（DP）后胰瘘的形成。
方法
在完成胰体尾切除术后，缝合主胰管。然后用3-0聚丙烯缝线将残余胰腺紧密补片并垂直缝合至镰状韧带。我们将该方法的结果（第1组）与用镰状韧带覆盖残余胰腺的简单方法的结果（第2组）进行了比较。
结果
我们对14例行胰体尾切除术的患者采用了该方法。第1组B级或C级胰瘘发生率（7.1%）低于第2组（46%）。
结论
这是一种预防胰体尾切除术中胰瘘的简单有效方法。
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