胰十二指肠切除后消化道重建方式的思考与改进  

Reflection on and improvement of digestive tract reconstruction after pancreatoduodenectomy

作　　者：秦仁义[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胆胰外科中心,武汉430030

出　　处：《中华消化外科杂志》2011年第5期335-337,共3页Chinese Journal of Digestive Surgery

基　　金：国家十一五科技支撑项目（2006BA102AB-402）;国家自然科学基金（81071775）

摘　　要：1909年，Walter Kausch开展了世界首例胰十二指肠切除术。消化道重建的方法是利用一个近端空肠袢进行胰肠和胃肠吻合，将远端空肠与胆囊行侧侧吻合，然后将近端空肠袢与远端空肠行侧侧吻合。由于手术的复杂性和外科技术的限制，消化道重建方法中吻合方式相对繁琐，手术时间较长，胰十二指肠切除术在当时未得到广泛开展。直到1935年，Digestive tract reconstruction is one of the important steps following pancreatoduodenectomy. Traditional methods of digestive tract reconstruction, such as Whipple, Child and Cattel method, had disadvantages of bringing damage to the normal physiological structure and raising the incidence of comphcations. In this review, the improvements of the digestive tract reconstruction in recent years were introduced, and their benefits and shortcomings were also analyzed.

关 键 词：胰十二指肠切除术 消化道重建方法 重建方式 切除后 侧侧吻合 手术时间 空肠袢 世界首例 

分 类 号：R735[医药卫生—肿瘤]