保留幽门的胰十二指肠切除术的技术改进  

OPERATIVE MODIFICATION IN PYLORUS - PRESERVING PANCREATODUODENECTOMY

作　　者：马凯[1] 戴显伟[1] 卜献民[1] 王亮[1] 戴阳[1] 郭石[2] 李魁武[3] 

机构地区：[1]中国医科大学第二临床学院普外科,沈阳110003 [2]沈阳市苏家屯区中心医院外科 [3]阜新市中心医院外科

出　　处：《中国现代手术学杂志》1998年第1期19-22,共4页Chinese Journal of Modern Operative Surgery

摘　　要：作者在30例保留幽门的胰十二指肠切除术中,对手术细节上作了改进。胰腺空肠吻合时可很顺利地将胰腺套入空肠,胰管内放置长的内支撑引流管行肠腔内引流;胆道空肠吻合采用人工合成可吸收线连续单层吻合;胆道内不放置T型引流管,可避免术后胰液、胆汁丢失,从而稳定内环境。本组无胰痿发生。经胃窦放置高位空肠营养造痿管,可明显降低术后胃排空障碍。In 30 cases of pylorus - preserving pancreatoduodenectomy, some operative techniques were modified. The cut end of the distal pancreas may be intussuscepted into the jejunum smoothly. The pancreatic fluid can be drained into the distal intestinal lumen by inserting a long drainage tube into the distal pancreatic duct. Single layer of continuous suture was adopted in cholangio-jejunostomy.Without bile duct T tube drainage, the loss of bile can be avoided to stahlize the internal environment. No pancreatic fluid leakage occured. Postoperative delayed gastric empty can be reduced by putting a jejunal nutritional tube through the gastric antrum.

关 键 词：幽门 胰十二指肠切除术 技术改进 T型引流管 

分 类 号：R656.64[医药卫生—外科学]