重视胰腺外科术后胰瘘预防及处理  

Emphasis on prevention and treatment of postoperative pancreatic fistula

作　　者：赵玉沛[1] 

机构地区：[1]北京协和医院基本外科,北京100730

出　　处：《中国实用外科杂志》2015年第8期805-807,共3页Chinese Journal of Practical Surgery

摘　　要：胰瘘是胰腺切除术后最常见的并发症,其继发的腹腔感染和出血是导致病人死亡的重要原因。胰瘘定义和分级标准的统一对其预防及临床研究具有重要意义。目前,尚无一种理想的技术方法能够从根本上杜绝胰瘘的发生,充分的术前评估、重视手术质量、根据病人情况选择最熟悉的术式、加强围手术期管理和手术团队的专业化将有助于降低胰瘘的发生率和严重程度。Pancreatic fistula （PF） remains one of the most common complications ＇after pancreatectomy, with resulting abdominal infection and hemorrhage constituting the leading cause of mortality. Standardization of PF definitions and grading systems has substantial clinical implications on prevention and clinical study of postoperative pancreatic fistula. There is no consensus on the best technique or method to radically wipe out PF up to now. Sufficient preoperative assessment, meticulous attention to operative quality and perioperative care, choosing the most familiar surgery based on patient individual conditions and professionalization of surgical team will contribute to reduc, tion of PF occurrence and severity.

关 键 词：胰腺 胰腺切除术 胰瘘 

分 类 号：R6[医药卫生—外科学]