胰胆分离式吻合技术在胰十二指肠切除术中的应用  

Applicatipon of Pancreatic and Biliary Anastomsis in PD

作　　者：陈敬龙[1] 王彦哲[1] 张龙[1] 陈少华[1] 李晓龙[1] 邱晓冬[1] 

机构地区：[1]赤峰学院附属医院普通外科,内蒙吉赤峰024000

出　　处：《安徽卫生职业技术学院学报》2016年第2期39-40,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的：介绍一种胰胆分离式吻合技术在胰十三指肠切除术中应用。方法：对12例胰十二指肠切除术的患者，切除标本后先做Roux-en-y空肠肠袢。长袢50-60cm。短袢30-40cm。于横结肠系膜无血管区左侧土提短袢至胰腺断端。行胰管空肠端侧吻合。将长袢经横结肠系膜无血管区右侧上提，行胆肠吻合。于蛄肠前行胃空肠吻合。完成消化道重建。结果；12例均顺利完成手术，无死亡病例，其中发生胆漏1例，切冒感染2例，胃排空障碍1例。无胰瘘、腹腔感染、脓肿、术后出盘等并发疾发生。术后随彷2个月-2年。无胰腺炎、胆道感染等并发疽。结论：胰胆分离式吻合可以有效预防胰十三指肠切除术后严重并发症的发生。Objective：To introduce a technique of separation of pancreatic and biliary anastomosis in the operation of pancreatic and duodenal resection.Methods：of 12 patients with panereatieoduodeneetomy resection specimens after first Roux-en-Y jejunal loop,loop length 50-60em,short loop 30-40era.In transverse mesoeolon without vascular area on the left side of the lifting loop short to pancreatic stump,pancreatic duet and jejunum end to side anastomosis,loop length by transverse mesocolon no blood vessels in the area on the right,biliary intestinal anastomosis in the colon before stomach jejunum anastomosis,the digestive tract reconstruction.Results： 12 cases were successfully completed surgery,no death cases,1 cases of bile leakage,2 eases of incision infection,1 eases of gastric emptying disorders,no pancreatic fistula, abdominal infection,abscess,postoperative bleeding and other complications occurred.Postoperative follow up for 2 months to 2 years,no complications such as panereatitis,biliary tract infection and so on.Conclusion：the separation of pancreatic and biliary anastomosis can effectively prevent the occurrence of severe complications after pancreatic and duodenal resection.

关 键 词：胰十二指肠切除术 胰胆分离式吻合 胰肠吻合 

分 类 号：R656.6[医药卫生—外科学]