Miroshnikov B I, Labazanov M M, Makarevich A K
Vestn Khir Im I I Grek. 1997;156(6):53-7.
An experience with 110 pancreatoduodenal resections is described. The possibility to fulfil the operation depended on the size of the tumor of the pancreas head (not more that 4 cm), on the width of the common bile duct (not more than 15 mm) and on the length of the not injured part of the hepatocoledochus (not less than 5 cm). The positive and negative features of ablation of the tumor in one or two steps are shown. It is thought to be expedient to save the gallbladder and the stomach with its pyloric sphincter. The restorative period after operations was performed by the Whipple method. Grounds for the expedience of transnasal drainage of the small intestine loop isolated after Roux are given. Postoperative lethality was 7.2%.
本文描述了110例胰十二指肠切除术的经验。能否完成手术取决于胰头肿瘤的大小（不超过4厘米）、胆总管的宽度（不超过15毫米）以及肝总管未受损部分的长度（不少于5厘米）。展示了分一步或两步切除肿瘤的优缺点。认为保留胆囊和带有幽门括约肌的胃是适宜的。术后恢复期采用惠普尔法。给出了对Roux术后分离出的小肠袢进行经鼻引流的合理性依据。术后死亡率为7.2%。
