保留部分十二指肠在胰十二指肠切除术中的临床应用  

Clinical application of reservation of partial duodenum in pancreaticoduodenectomy

作　　者：张龙轩[1] 徐祗永 刘瑞林 

机构地区：[1]山东省临沂市人民医院普外科,山东临沂276005 [2]山东省临沭县人民医院普外科,山东临沂276700

出　　处：《中国现代普通外科进展》2008年第6期494-496,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:总结保留部分十二指肠在胰十二指肠切除术中的临床应用效果。方法:回顾分析21例行胰十二指肠切除术中保留部分十二指肠、屈氏韧带及空肠上段的患者,描述其手术要点,总结其优点。结果:无手术死亡,术后除2例因刀口感染裂开行二期缝合外,均顺利康复出院,平均住院21d,无胆瘘、胰瘘;随访6个月～5年,1年生存率85.7%(18/21),3年生存率66.7%(14/21),5年生存率14.3%(3/21)。结论:在胰十二指肠切除术中保留部分十二指肠,既可减少广泛解剖所致的损伤,又不影响相关淋巴结的廓清,且缩短手术时间;对患者影响小,消化功能恢复快;对年老体弱、重要脏器功能差或过于肥胖的患者尤为适宜。Objective： To summarize the clinical application of reservation of partial duodenum in pancreaticoduodenectom. Methods. 21 patients of pancreaticoduodenectomy ,were performed with partial duodenum, trans-ligment of Treits and upper-jejunum reservation from June 2000 to June 2005 in our hospital and the clinical data were retrospectively analyzed. Results： There was no death in operation; 2 cases with incision split due to infection after surgery were cured by secondary suture; the rest were discharged from hospital from hospital successfully; a mean period of inhospital was 21 days, without bile leakage or pancreatic leakage. Follow-up period was from six months to five years; and there were 18 cases with 1 -year survival （85.7%）, 14 cases with 2 - year survival（66.6%） and 3 cases with 3-year（14.2%）.Conclusions： Reservation duodenum can reduce trauma caused by extensive anatomy and shorten operation time.

关 键 词：胰十二指肠切除术 部分保留 临床效果 

分 类 号：R735[医药卫生—肿瘤]