Arnaud J P, Bergamaschi R, Casa C, Serra-Maudet V
Department of Visceral Surgery, Chu-Angers, France.
Int Surg. 1993 Oct-Dec;78(4):352-3.
The propensity for leakage and disruption at the site of the pancreatojejunostomy is a major reason for morbidity and death after pancreatoduodenal resection. The purpose of this study was to evaluate the safety of pancreatogastrostomy as an alternative method of restoring pancreatointestinal continuity. From January 1989 to June 1991, 32 patients (28 with malignant tumors and 4 with chronic pancreatitis) underwent pancreatogastrostomy following pancreatoduodenectomy. There were two postoperative deaths (6.2%) one of which could in part have been due to the anastomotic technique, too tight with postoperative pancreatitis as a result. There was one pancreatic fistula (3%) which recovered with further surgery. That pancreatogastrostomy is safe is well documented in the literature. That it is safer than the conventional anastomosis or provides a better functional result is still to be proved.
胰肠吻合口处的渗漏和破裂倾向是胰十二指肠切除术后发病和死亡的主要原因。本研究的目的是评估胰胃吻合术作为恢复胰肠连续性的替代方法的安全性。1989年1月至1991年6月，32例患者（28例患有恶性肿瘤，4例患有慢性胰腺炎）在胰十二指肠切除术后接受了胰胃吻合术。术后有2例死亡（6.2%），其中1例部分可能归因于吻合技术，吻合过紧导致术后胰腺炎。有1例胰瘘（3%），经进一步手术治愈。胰胃吻合术的安全性在文献中有充分记载。它是否比传统吻合术更安全或能提供更好的功能结果仍有待证明。
