Lowe R J, Saletta J D, Moss G S
J Trauma. 1977 Sep;17(9):732-41. doi: 10.1097/00005373-197709000-00011.
Six cases of pancreatoduodenectomy performed for combined injuries of the pancreas, duodenum, and/or distal common duct are reported. Pancreatoduodenectomy is indicated when there is extensive destruction of the pancreatic head in conjunction with major injuries of the duodenum, distal common duct, and/or retropancreatic portal vein, necessitating complete division of the pancreatic head. Reconstruction is best achieved by end-to-end pancreatiocieiunostomy, end-to-side choledochojejunostomy, antrectomy, and vagotomy.
报告了6例因胰腺、十二指肠和/或胆总管远端联合损伤而施行胰十二指肠切除术的病例。当胰头广泛破坏并伴有十二指肠、胆总管远端和/或胰后门静脉的严重损伤，需要完全切断胰头时，应行胰十二指肠切除术。通过胰肠端端吻合术、胆管空肠端侧吻合术、胃窦切除术和迷走神经切断术可实现最佳重建。
