捆绑式胰肠吻合术—150例临床应用  

Binding pancreaticojejunostomy: clinical report of 150 cases

作　　者：彭淑牖[1] 刘颖斌[1] 牟一平[2] 蔡秀军[2] 彭承宏[1] 吴育连[1] 方河清[1] 沈宏伟[1] 

机构地区：[1]浙江大学医学院附属第二医院普外科,杭州310009 [2]浙江大学医学院附属邵逸夫医院普外科

出　　处：《中华医学杂志》2002年第6期368-370,共3页National Medical Journal of China

摘　　要：目的　介绍一种安全、有效、简单、实用的预防胰十二指肠切除术后胰肠吻合口漏的手术方法。方法　总结浙江大学医学院附属第二医院普外科及附属邵逸夫医院普外科 1996年 1月至2 0 0 1年 1月间 15 0例捆绑式胰肠吻合术预防胰漏的临床经验和手术方法。结果　全组 15 0例无一例发生胰漏。结论　捆绑式胰肠吻合术操作简单、安全 ,可以作为胰肠吻合的标准术式。Objective To study the safety and feasibility of a new operative procedure called binding pancreaticojejunostomy (BPJ) used to prevent anastomotic leakage following pancreatoduodenectomy (PD). Methods From 1996 to 2001, a newly developed operative procedure, binding pancreaticojejunostomy, was performed upon 150 cases undergoing PD. The remnant of pancreas was sutured with and invaginated into the jejunum, with the suture needle only penetrating the mucosa and not the seromuscular layer. The mucosa of jejunum near the pancreatic remnant was destroyed by electric coagulation or phenol. The pancreas and jejunum were bound together so that they were pressed close to each other. The clinical data were reviewed and analysed. Results The operation of BPJ was performed smoothly on all 150 patients. No pancreatic leakage occurred. Conclusion The BPJ procedure is effective in avoiding anastomotic leakage following PD.

关 键 词：胰头十二指肠切除术 胰腺吻合 捆绑式胰吻合术 胰腺漏 外科手术 临床应用 胰头癌 手术方法 

分 类 号：R657.5[医药卫生—外科学]