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[腹腔镜下胆总管十二指肠吻合术]

[Choledochoduodenal anastomosis by laparoscopy].

作者信息

Farello G A, Cerofolini A, Bergamaschi G, Rebonato M, Ferrari C, Lucchin B, Chiappetta A

机构信息

Ospedale Civile di Schio, Divisione di Chirurgia Generale, Italia.

出版信息

J Chir (Paris). 1993 May;130(5):226-30.

PMID:8345019
Abstract

Eleven patients underwent choledochoduodenostomy under laparoscopic control: 5 for adenocarcinoma of head of pancreas, including 2 with extension into duodenum, 3 for chronic pancreatitis. 1 for gastric carcinoma with pancreatic infiltration 1 for carcinoma of ampulla and 1 for stenosing papillitis. Mean duration of operation was 97.9 minutes and mean hospital stay 7.8 days. No immediate or delayed postoperative complications were reported. The advantages of this method are the marked reduction in recovery time, especially in severely debilitated elderly patients, and the absence of postoperative pain.

摘要

11例患者在腹腔镜控制下行胆总管十二指肠吻合术:5例因胰头腺癌,其中2例肿瘤侵犯十二指肠;3例因慢性胰腺炎;1例因胃癌侵犯胰腺;1例因壶腹癌;1例因乳头狭窄性炎。平均手术时间为97.9分钟,平均住院时间为7.8天。未报告近期或远期术后并发症。该方法的优点是恢复时间显著缩短,尤其是对身体严重虚弱的老年患者,且术后无疼痛。

相似文献

1
[Choledochoduodenal anastomosis by laparoscopy].[腹腔镜下胆总管十二指肠吻合术]
J Chir (Paris). 1993 May;130(5):226-30.
2
[Duodenopancreatectomy with conservation of the pylorus].保留幽门的十二指肠胰切除术
Minerva Chir. 1989 Oct 31;44(20):2137-41.
3
Choledochoduodenostomy. A reappraisal of its indications based on a study of 64 patients.胆总管十二指肠吻合术。基于对64例患者的研究对其适应证的重新评估。
Br J Surg. 1972 Apr;59(4):277-80.
4
Pancreatico-duodenal resection and by-pass operation in patients with carcinoma of the head of the pancreas, ampulla, and distal end of the common duct.胰十二指肠切除术及旁路手术治疗胰头、壶腹和胆总管远端癌患者。
Acta Chir Scand. 1974;140(7):523-7.
5
[Terminolateral choledochoduodenal anastomosis].
Klin Khir (1962). 1990(9):22-3.
6
Surgical palliation in pancreatic head carcinoma and gastric cancer: the role of laparoscopy.
Hepatogastroenterology. 1999 Jul-Aug;46(28):2606-11.
7
[Therapeutic value of choledochoduodenostomy in obstructive jaundice and concomitant pancreatitis].
Munch Med Wochenschr. 1973 Jul 20;115(29):1301-8.
8
Indications for choledochoduodenostomy.胆总管十二指肠吻合术的适应证。
Am Surg. 1978 Nov;44(11):704-6.
9
[Duodenum preserving pancreatic head resection in chronic pancreatitis with inflammatory tumor in the pancreas head].[保留十二指肠的胰头切除术治疗合并胰头炎性肿瘤的慢性胰腺炎]
Z Gastroenterol. 1996 Nov;34(11):735-41.
10
[Supraduodenal choledochoduodenal anastomosis in treating cholelithiasis].
Vestn Khir Im I I Grek. 1984 Dec;133(12):21-4.

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