Takao S, Shimazu H, Maenohara S, Shinchi H, Aikou T
First Department of Surgery, Kagoshima University School of Medicine, Japan.
Am J Surg. 1993 Mar;165(3):317-21. doi: 10.1016/s0002-9610(05)80833-5.
A modified pancreaticogastrostomy without gastrotomy was performed in 46 patients undergoing pancreaticoduodenectomy for malignant or benign disease. Postoperative complications related to the modified pancreaticogastrostomy occurred in one patient (2%). Operative mortality was 4% and was unrelated to the pancreaticogastrostomy itself. During the first postoperative year, four patients died of causes unrelated to the original disease process, and nine patients died of recurrent carcinoma. The remaining 31 patients were alive and well at a mean follow-up of 20 months. Results of postoperative gastroscopy were normal in all patients studied. A modified pancreaticogastrostomy without gastrotomy is a safe and effective procedure for pancreatic reconstruction in pancreaticoduodenectomy.
对46例因恶性或良性疾病接受胰十二指肠切除术的患者实施了不做胃切开术的改良胰胃吻合术。与改良胰胃吻合术相关的术后并发症发生在1例患者身上（2%）。手术死亡率为4%，且与胰胃吻合术本身无关。在术后第一年，4例患者死于与原发病进程无关的原因，9例患者死于复发性癌。其余31例患者在平均20个月的随访中存活且状况良好。所有接受研究的患者术后胃镜检查结果均正常。不做胃切开术的改良胰胃吻合术是胰十二指肠切除术中进行胰腺重建的一种安全有效的手术方法。
