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保留胆管的胰头切除术(BDPPHR):我们能否明确界定慢性胰腺炎手术中胰头切除的范围?

Bile duct preserving pancreatic head resection (BDPPHR): Can we conclusively define the extent of head resection in surgery for chronic pancreatitis?

作者信息

Nitesh Pagadala Naga Balaji, Pottakkat Biju

机构信息

Department of Surgical Gastroenterology, Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Pondicherry, India.

出版信息

Ann Hepatobiliary Pancreat Surg. 2020 Aug 31;24(3):309-313. doi: 10.14701/ahbps.2020.24.3.309.

DOI:10.14701/ahbps.2020.24.3.309
PMID:32843597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7452812/
Abstract

The role of surgical management for chronic pancreatitis in providing pain relief and improving quality of life is significant. Surgical techniques involving pancreatic head resection scored more over the drainage procedures. Among the resection procedures, Frey's procedure received widespread acceptance. However, the exact extent of pancreatic head resection to be performed and the limits of the resection are still debatable. The present report of bile duct preserving pancreatic head resection (BDPPHR) describes an innovative approach to the pancreatic head and conclusively defines the extent of head resection. The simplicity, feasibility and easy reproducibility of the BDPPHR is also reiterated.

摘要

外科治疗在缓解慢性胰腺炎疼痛和改善生活质量方面的作用显著。涉及胰头切除的手术技术比引流手术得分更高。在切除手术中,Frey手术得到了广泛认可。然而,胰头切除的确切范围以及切除的界限仍存在争议。本报告介绍了保留胆管的胰头切除术(BDPPHR),这是一种针对胰头的创新方法,并明确界定了胰头切除的范围。同时也重申了BDPPHR的简单性、可行性和易于重复性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/f42bb46c05b2/AHBPS-24-309-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/97b0a9174c85/AHBPS-24-309-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/c557b38f8acc/AHBPS-24-309-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/220f18698bb7/AHBPS-24-309-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/9bf5d2b4211c/AHBPS-24-309-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/f42bb46c05b2/AHBPS-24-309-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/97b0a9174c85/AHBPS-24-309-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/c557b38f8acc/AHBPS-24-309-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/220f18698bb7/AHBPS-24-309-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/9bf5d2b4211c/AHBPS-24-309-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77a0/7452812/f42bb46c05b2/AHBPS-24-309-f5.jpg

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Bile duct preserving pancreatic head resection (BDPPHR): Can we conclusively define the extent of head resection in surgery for chronic pancreatitis?保留胆管的胰头切除术(BDPPHR):我们能否明确界定慢性胰腺炎手术中胰头切除的范围?
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引用本文的文献

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World J Gastroenterol. 2023 Apr 14;29(14):2101-2113. doi: 10.3748/wjg.v29.i14.2101.
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Early experience with robot-assisted Frey's procedure surgical outcome and technique: Indian perspective.机器人辅助Frey手术的早期经验:手术结果与技术——印度视角
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本文引用的文献

1
Role of original and modified Frey's procedures in chronic pancreatitis.原始及改良弗雷氏手术在慢性胰腺炎中的作用。
World J Gastroenterol. 2016 Dec 21;22(47):10415-10423. doi: 10.3748/wjg.v22.i47.10415.
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Surgical and endoscopic treatment of pain in chronic pancreatitis: a multidisciplinary update.
慢性胰腺炎疼痛的手术及内镜治疗:多学科最新进展
Dig Surg. 2013;30(1):35-50. doi: 10.1159/000350153. Epub 2013 Apr 26.
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BMC Gastroenterol. 2013 Mar 18;13:49. doi: 10.1186/1471-230X-13-49.
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How much of the pancreatic head should we resect in Frey's procedure?在弗雷氏手术中,我们应该切除多少胰头?
Surg Today. 2009;39(2):120-7. doi: 10.1007/s00595-008-3816-5. Epub 2009 Feb 7.
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Dig Surg. 2001;18(1):21-5. doi: 10.1159/000050092.
8
Local resection of the head of the pancreas combined with longitudinal pancreaticojejunostomy in the management of patients with chronic pancreatitis.胰头局部切除术联合胰管空肠纵向吻合术治疗慢性胰腺炎患者
Ann Surg. 1994 Oct;220(4):492-504; discussion 504-7. doi: 10.1007/BF02348284.
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Pancreas. 1987;2(6):701-7. doi: 10.1097/00006676-198711000-00014.