带蒂大网膜包裹胰肠吻合在胰十二指肠切除术中的应用  

THE PEDICLED GREAT OMENTUM TO COVER THE ANASTOMOTIC STOMA WITH IN PANCREATOENTEROSTOMY

作　　者：徐永宏[1] 汤浩[1] 王剑[1] 张恒[1] 

机构地区：[1]温州医学院第五附属医院(丽水市中心医院),丽水32300

出　　处：《肝胆外科杂志》2005年第2期128-129,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨降低胰十二指肠切除术后胰肠吻合口漏的预防措施。方法　回顾性分析1999～2 0 0 4年间施行的4 6例胰十二指肠切除术中采用大网膜包裹胰肠吻合口的手术方法。结论　4 6例患者术后出现胰漏1例,占2 .17% ,无围手术期死亡。结论　带蒂大网膜包裹胰肠吻合口,覆盖操作简单,对预防胰十二指肠切除术后胰肠吻合口漏有良好效果。Objective To study the effective technique to prevent of pancreatic fistula after pancreatoenterostomy.Methods To conduct a retrospective analysis on the anastomotic stoma of pedicled great omentum for 46 cases from 1999 to 2004.Result 1 case of pancreatic fistula was occurred in 46 cases(2.17%),perioperative mortality rate was 0%.Conclusion Utilizing the pedicled great omentum to cover the anastomotic stoma is a safe,easy and effective method to prevent to pancreatic fistula.

关 键 词：胰十二指肠切除 胰肠吻合 带蒂大网膜 

分 类 号：R657.4[医药卫生—外科学]