简化胰管黏膜吻合术在腹腔镜胰十二指肠切除术中应用于非扩张胰管。
Application of Simplified Duct-to-Mucosa Pancreaticojejunostomy for Nondilated Pancreatic Duct in Laparoscopic Pancreatic Surgery.
机构信息
Department of Hepatopancreatobiliary Surgery, The Affiliated Jinhua Hospital of Zhejiang University School of Medicine, Jinhua, Zhejiang Province, China.
出版信息
Surg Laparosc Endosc Percutan Tech. 2023 Jun 1;33(3):219-223. doi: 10.1097/SLE.0000000000001084.
OBJECTIVE
The objective of this study was to investigate the feasibility of simplified duct-to-mucosa pancreaticojejunostomy in a nondilated pancreatic duct in laparoscopic surgery.
MATERIALS AND METHODS
The data of 19 patients who underwent laparoscopic pancreaticoduodenectomy (LPD) and 2 patients who underwent laparoscopic central pancreatectomy were retrospectively analyzed.
RESULTS
All patients underwent pure laparoscopic surgery successfully with simplified duct-to-mucosa pancreaticojejunostomy. The operation time of LPD was 365.11±41.56 minutes, the time of pancreaticojejunostomy was 28.39±12.58 minutes, and postoperative hospitalization time was 14.16±6.88 days on average. Postoperative complications occurred in 3 patients of LPD, including 2 cases of class B postoperative pancreatic fistula and 1 case of gastroparesis followed by gastrointestinal anastomotic perforation. The operative time of laparoscopic central pancreatectomy was 191.00±12.73 minutes, the time of pancreaticojejunostomy 36.00±5.66 minutes, and the postoperative hospitalization time 12.5±0.71 days on average.
CONCLUSIONS
The described technique is a simple and safe reconstruction procedure and suitable for patients with nondilated pancreatic duct.
目的
本研究旨在探讨在腹腔镜手术中对非扩张胰管行简化胰管黏膜吻合术的可行性。
材料与方法
回顾性分析了 19 例行腹腔镜胰十二指肠切除术（LPD）和 2 例行腹腔镜胰体尾切除术患者的资料。
结果
所有患者均成功完成了纯腹腔镜手术，并采用简化胰管黏膜吻合术。LPD 的手术时间为 365.11±41.56 分钟，胰肠吻合时间为 28.39±12.58 分钟，术后平均住院时间为 14.16±6.88 天。LPD 术后 3 例发生并发症，包括 2 例 B 级术后胰瘘和 1 例胃轻瘫后胃肠吻合口穿孔。腹腔镜胰体尾切除术的手术时间为 191.00±12.73 分钟，胰肠吻合时间为 36.00±5.66 分钟，术后平均住院时间为 12.5±0.71 天。
结论
该技术操作简单、安全，适用于非扩张胰管患者。
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