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[胰腺主胰管可控性瘘管]

[Controlled fistula of Wirsung's duct].

作者信息

Gouffrant J M, Grenet J

出版信息

Presse Med. 1986 Jan 18;15(2):73-4.

PMID:2935861
Abstract

In order to prevent the serious pancreatic fistulae which complicate anastomoses between the pancreatic tail and a jejunal loop after cephalic duodenopancreatectomy, we propose a pancreatic fluid derivation on a temporary drain equivalent to a controlled fistula of Wirsung's duct. This already known technique consists of a punctiform anastomosis on an Escat's supporting drain between the main pancreatic duct and the jejunum. No complication occurs when the drain is removed 12 days later, as shown by a series of 24 cephalic duodeno-pancreatectomies where this technique was used.

摘要

为预防胰头十二指肠切除术后胰尾与空肠袢吻合口并发严重胰瘘,我们提出一种在临时引流管上进行胰液转流的方法,相当于对主胰管进行可控性瘘管引流。这种已知技术包括在埃卡特支撑引流管上,于主胰管与空肠之间进行点状吻合。在一系列24例采用该技术的胰头十二指肠切除术中,12天后拔除引流管时未发生并发症。

相似文献

1
[Controlled fistula of Wirsung's duct].[胰腺主胰管可控性瘘管]
Presse Med. 1986 Jan 18;15(2):73-4.
2
[Pancreatico-jejunal anastomosis with drainage of Wirsung's duct after duodeno-cephalopancreatectomy].十二指肠胰头切除术后胰管空肠吻合并引流Wirsung管
G Chir. 1988 Oct;9(10):723-6.
3
[Remaining pancreas after cephalic pancreaticoduodenectomy. Development and treatment].[胰头十二指肠切除术后的残余胰腺。发育与治疗]
J Chir (Paris). 1982 Aug-Sep;119(8-9):485-90.
4
[Protection of the pancreaticojejunal anastomosis after cephalic duodenopancreatectomy for tumor].
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[Wirsung's duct and chronic pancreatitis. Changes in the morphology of the pancreatic ducts after pancreatic duct shunts. 23 cases followed-up].
J Chir (Paris). 1976 Mar;111(3):251-66.
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Pancreato-biliary-duodenal interposition of isolated jejunal loop in the surgical treatment of selected cases of chronic pancreatitis.孤立空肠袢胰胆管十二指肠间置术治疗慢性胰腺炎某些病例的外科手术方法
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Jejunal loop drainage versus direct pancreatic duct drainage after pancreatic head resection.胰头切除术后空肠袢引流与胰管直接引流的比较
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Distal pancreatectomy with duct-to-mucosa pancreaticogastrostomy: a novel technique for preventing postoperative pancreatic fistula.远端胰腺切除术联合胰管黏膜吻合术:一种预防术后胰瘘的新方法。
Am J Surg. 2011 Jul;202(1):77-81. doi: 10.1016/j.amjsurg.2010.04.023. Epub 2011 May 19.
10
Resection of pancreas without production of fistula.
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