Yamamoto J, Shimamura Y, Nakahara H, Koishi Y, Kougo M, Ohtani H, Watanabe H, Ishii M, Ohmura M
Department of Surgery, Chibanishi West Hospital, Chiba, Japan.
Arch Surg. 1997 Jul;132(7):785-8. doi: 10.1001/archsurg.1997.01430310099024.
The leakage of pancreatic juice is the most serious complication after pancreatoduodenectomy. In an attempt to lessen the incidence of this complication, we have developed a simple technique for the anastomosis of pancreatogastrostomy. Since March 14, 1995, we have already performed surgical procedures on 8 cases of pancreatogastrostomy using this technique and as yet have never experienced fatal complications. We report the autopsy findings of pancreatogastric anastomosis histologically. The specimen taken from the anastomosis reveals good mucosal continuity. This result suggests the importance of reliable sutures between the pancreatic parenchyma and the full thickness of the gastric wall for the anastomosis of pancreatogastrostomy.
胰液渗漏是胰十二指肠切除术后最严重的并发症。为了降低该并发症的发生率，我们研发了一种简单的胰胃吻合技术。自1995年3月14日以来，我们已使用该技术对8例患者进行了胰胃吻合手术，至今尚未出现致命并发症。我们报告胰胃吻合的组织学尸检结果。取自吻合处的标本显示黏膜连续性良好。这一结果表明，在胰胃吻合术中，胰腺实质与胃壁全层之间可靠的缝合至关重要。
