胰管引流與非引流在預防胰十二指腸切除術后胰瘺發生的作用觀察_《中國普外基礎與臨床雜志》

作者：

成都市第一人民醫院肝膽外科（成都610016）;

關鍵詞：

胰十二指腸切除胰瘺胰管引流

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的探討胰管引流與非引流在預防胰十二指腸切除術后胰瘺發生的作用。方法我們回顧性地分析了76例胰十二指腸切除病例，手術范圍包括遠端半胃、膽總管、胰頭、十二指腸整塊切除；消化道重建采用胰空腸端側吻合或胰管空腸粘膜端側吻合，76例中45例胰管內安置外引流，31例未安置胰管引流。結果胰管外引流45例中，1例(2.2%)發生胰瘺；而31例未安置胰管外引流病例中7例(22.6%)發生胰瘺，胰管外引流組術后胰瘺發生率明顯低于胰管非引流組(P＜0.05)。結論胰十二指腸切除胰腸吻合時胰管內安置外引流能降低術后胰瘺的發生率，值得臨床應用。

引用本文： 孫汴生,楊漢新,王勇強,馬忠明,宋念. 胰管引流與非引流在預防胰十二指腸切除術后胰瘺發生的作用觀察. 中國普外基礎與臨床雜志, 2002, 9(2): 118-120. doi: 復制

1.	Ohwada S,Ogawat T,Kawate S,et al. Results of ducttomucosa pancreaticojejunostomy for pancreaticoduodenectomy Billroth I type reconstruction in 100 consecutive patients [J].J Am Coll Surg,2001; 193(1)∶29.
2.	Okamato A,Tsuruta K. Fistulation method: simple and safe pancreaticojejunostomy after pancreaticoduodenectomy [J].Surgery,2000; 127(4)∶433.
3.	Yeo CJ,Cameron JL,Sohn TA,et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s [J].Ann Surg,1997; 226(3)∶248.
4.	Roder SD,Stein HJ,Bottcher KA,et al. Stented versus nonstented pancreaticojejunostomy after pancreatoduodenectomy [J].Ann Surg,1999; 229(1)∶41.
5.	Marcus SG,Cohen H,Ranson JHC. Optimal management of the pancreatic remnant after pancreaticoduodenectomy [J].Ann Surg,1995; 221(6)∶635.
6.	Fernandezdel Castillo C,Rattner DW,Warshaw AL. Standards for pancreatic resection in the 1990s [J].Arch Surg,1995; 130(3)∶295.
7.	Miyagawa S,Makuuchi M,Kawasaki S,et al. Secondstage pancreatojejunostomy following pancreatoduodenectomy in highrisk patients [J].Am J Surg,1994; 168(1)∶66.

1. Ohwada S,Ogawat T,Kawate S,et al. Results of ducttomucosa pancreaticojejunostomy for pancreaticoduodenectomy Billroth I type reconstruction in 100 consecutive patients [J].J Am Coll Surg,2001; 193(1)∶29.
2. Okamato A,Tsuruta K. Fistulation method: simple and safe pancreaticojejunostomy after pancreaticoduodenectomy [J].Surgery,2000; 127(4)∶433.
3. Yeo CJ,Cameron JL,Sohn TA,et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s [J].Ann Surg,1997; 226(3)∶248.
4. Roder SD,Stein HJ,Bottcher KA,et al. Stented versus nonstented pancreaticojejunostomy after pancreatoduodenectomy [J].Ann Surg,1999; 229(1)∶41.
5. Marcus SG,Cohen H,Ranson JHC. Optimal management of the pancreatic remnant after pancreaticoduodenectomy [J].Ann Surg,1995; 221(6)∶635.
6. Fernandezdel Castillo C,Rattner DW,Warshaw AL. Standards for pancreatic resection in the 1990s [J].Arch Surg,1995; 130(3)∶295.
7. Miyagawa S,Makuuchi M,Kawasaki S,et al. Secondstage pancreatojejunostomy following pancreatoduodenectomy in highrisk patients [J].Am J Surg,1994; 168(1)∶66.

《中國普外基礎與臨床雜志》

胰管引流與非引流在預防胰十二指腸切除術后胰瘺發生的作用觀察

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

《中國普外基礎與臨床雜志》

胰管引流與非引流在預防胰十二指腸切除術后胰瘺發生的作用觀察

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料