全胰管栓塞在胰十二指肠切除术中的应用  

Duodenopancreactomy in complete obstruction of pancreatic duct

作　　者：汪善伦 马厚初 章仁道 程庆君 姜从桥[1] 

机构地区：[1]蚌埠医学院附属医院普外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2000年第1期38-39,共2页Journal of Bengbu Medical College

摘　　要：目的 :防止胰十二指肠切除术 (Whipple手术 )并发胰空肠吻合口瘘。 方法 :在Whipple手术中 ,残胰胰管采用TH胶栓塞 ,胰腺残端缝合关闭 ,免除胰空肠吻合。结果 :共实行残胰管栓塞术 42例 ,无 1例术后胰瘘及手术死亡 ,术后恢复顺利 ,均痊愈出院 ;全部病例随访 1～ 8年 ,无糖尿病发生。服用胰酶片能维持正常消化功能 ,生活质量良好。结论 :残胰胰管栓塞术 ,可有效防止Whipple术后并发胰瘘 ,降低手术死亡率 ,是一种较为理想的术式。?Objective:To study the prevention of fistula formation in pancreaticojejunal anastomose after duodenopancreactomy(Whipple's operation).Methods:In duodenopancreactomy,the stump of pancreatic duct was injected with TH glue.Embolism was formed and the pancreatic duct was closed.Consequently the pancreaticojejunostomy was avoided.Results:This method was employed in 42 cases of Whipple's operations.Not a single case of postoperative pancreatic fistula or operative death occurred,the rate of successful operation has been raised.Conclusions:The embolism formation of TH glue in pancreatic duct prevents effectively the complication of the pancreatic fistula in duodenopancreactomy and that reduces the operative mortality and time of hospitalization.

关 键 词：胰腺切除术 胰腺管 栓塞 胰腺瘘 

分 类 号：R735.905[医药卫生—肿瘤] R735.36[医药卫生—临床医学]