胰十二指肠切除术后消化道重建方式的选择  

Method selection for digestive tract reconstruction after pancreaticoduodenectomy

作　　者：孙备[1] 陈宏泽 

机构地区：[1]哈尔滨医科大学附属第一医院胰胆外科,150001

出　　处：《中华消化外科杂志》2015年第11期911-915,共5页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金（81302057、81170431、81370565）

摘　　要：胰腺是位于人体腹膜后方的实质性器官，其解剖位置深在，手术操作复杂，难度大。而胰十二指肠切除术切除范围广，切除器官多，消化道重建步骤烦琐，是胰腺外科乃至腹部外科手术中最具挑战性的手术方式。根据术中实际情况和术者对手术方式的熟练程度，选择合理的消化道重建方式，对于保障胰十二指肠切除术质量及防治术后并发症都具有重要意义。The pancreas located behind the peritoneum is a parenchymatous organ with a deep anatomical position and the surgical procedure for pancreatic diseases is complicated. And the pancreaticoduodenectomy （PD） is the most challenging operation in the field of pancreatic surgery even the abdominal surgery due to its large extent of resection and complexity of digestive tract reconstruction. Surgeons should select the most reasonable reconstruction methods on the basis of specific opera- tive situation and surgical proficiency in order to ensure the quality of PD as well as prevent the postoperative complications.

关 键 词：消化道重建 胰十二指肠切除术 胰肠 吻合 

分 类 号：R656[医药卫生—外科学]