网状补片戴戒式加固法行柔软胰腺的胰肠吻合术  

Polypropylene mesh wrap around reinforced pancreatojejunostomy for soft pancreas

作　　者：李伟[1] 王先法[1] 许斌[1] 朱一平[1] 牟一平[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院普外科浙江大学微创外科研究所,杭州310016

出　　处：《中华医学杂志》2009年第20期1391-1394,共4页National Medical Journal of China

摘　　要：目的介绍一种新的Mesh（网状）补片加固的胰肠吻合方法运用于柔软胰腺胰肠吻合的经验。方法自2005年8月至2008年8月采用自行设计的网状补片“戴戒式”加固法对24例柔软胰腺实施胰肠吻合术，观察术后并发症的发生情况。结果24例患者手术时间为5～7．5h。胰肠吻合耗时22～35min，平均为25min。术中失血量为200～1500ml，平均450ml。术后并发症为：胆肠吻合口瘘2例，胃排空障碍2例，胃肠吻合口瘘1例，腹腔感染1例，切口感染裂开1例，腹腔出血1例，没有1例发生胰肠吻合口漏。结论网状补片“戴戒式”加固法行胰肠吻合操作简便，是一种对柔软胰腺实施胰肠吻合的可靠方法。Objective To evaluate the preventive effect of a new anastomotic technique upon pancreatic leakage-polypropylene mesh wrap around reinforced panereatojejunostomy on soft pancreas. Methods From August 2005 to August 2008, polypropylene mesh wrap around reinforced pancreatojejunostomy was performed on 24 cases of pancreatodudeoneetomy with soft pancreas. Results The operating duration was 5 to 7. 5 hours. The mean duration of performing pancreatojejunostomy was 25 rain. Blood loss was 200 to 1500 ml. All patients recovered without pancreatic leakage. Conclusion The polypropylene-mesh wrap around reinforced panereatojejunostomy is a feasible and reliable procedure to prevent pancreatic leakage of soft pancreas.

关 键 词：胰肠吻合 柔软胰腺 网状补片 戴戒式加固法 

分 类 号：R686[医药卫生—骨科学]