胰胃吻合术在胰十二指肠切除术中的应用  

Utilization of the Pancreaticogastrostomy after Pancreaticoduodenectomy

作　　者：丁守成[1] 吴天慈 魏云志[1] 

机构地区：[1]天津市蓟县人民医院,天津市301900

出　　处：《中国肿瘤临床》1994年第10期720-722,共3页Chinese Journal of Clinical Oncology

摘　　要：胰十二指肠切除术中采用胰胃吻合术作为消化道再建术式,临床应用取得满意疗效.手术方法:切除幽门侧胃1/3,依病灶情况切除部分胰腺,胰管内置入有侧孔之硅胶管作支架引流,残胃后壁横行切开,将胰断端引入胃内约1.5cm,缝合固定,胰管导管自胃前壁引出体外,胃空肠端端吻合、胆管空肠端侧吻合,胆管内置T管引流.本术式安全性高,并发症少,残存胰腺与胃后壁毗邻,易吻合;胰蛋白酶、糜蛋白酶在胃内低pH环境下以酶原形式存在,为吻合口愈合提供有利条件,且胰液可中和胃酸,防止吻合口溃疡发生.Pancreaticogastrostomy was performed reconstructing alimentary canal after 9 pancreaticoduodenectomies. One third of the stomach and part of the pancreas were removed and a silicon rubber catheter was placed in the distal portion of the pancreatic duct, and the remnant pancreas was anastomosed into the stomach. Then gastro-jejunostomy, choledochejejunostomy and placement of the T tube in the choledochus were performed. The remnant pancreas is so close to the posterior wall of the stomach that it is easy to do the anastomosis. Presence of trypsin and chymotrypsin and the pancreas fluid may neutralize gastric acid and prevent the anastomotic stoma from being inflicted ulcer.

关 键 词：肿瘤 胰 十二指肠 胰胃吻合 癌 

分 类 号：R735.05[医药卫生—肿瘤]