洪氏胰肠吻合术应用于184例腹腔镜胰十二指肠切除术的疗效评价  

Application of Hong's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy on 184 patients

作　　者：陈庆民 王英超[1] 刘松阳[1] 张威[1] 刘凯[1] 纪柏[1] 刘亚辉[1] Chen Qingmin;Wang Yingchao;Liu Songyang;Zhang Wei;Liu Kai;Ji Bai;Liu Yahui(Department of Second Hepatobiliary and Pancreatic Surgery,the First Bethune Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学白求恩第一医院肝胆胰外二科,长春130021

出　　处：《中华肝胆外科杂志》2019年第11期842-845,共4页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨洪氏胰肠吻合术应用于腹腔镜胰十二指肠切除术中胰肠吻合重建的有效性与安全性。方法回顾性分析2016年4月至2018年12月吉林大学白求恩第一医院肝胆胰外二科184例采用洪氏胰肠吻合方式的腹腔镜胰十二指肠切除患者(洪氏胰肠吻合组)和100例采用传统胰肠吻合方式的腹腔镜下胰十二指肠切除患者(传统胰肠吻合组)的临床资料。比较两种吻合方式手术时间、胰肠吻合时间、术中出血量、术后住院时间、术后并发症、胰瘘发生率等指标的差异。结果洪氏胰肠吻合组手术时间、胰肠吻合时间、术中出血量均少于传统胰肠吻合组[(278.2±49.3)min比(337.3±67.4)min,(33.7±6.6)min比(46.8±8.5)min,(123.1±44.7)ml比(203.8±138.6)ml],差异均具有统计学意义(均P<0.05)。两组术后住院时间、胰瘘发生率差异均无统计学意义(均P>0.05)。结论洪氏胰肠吻合较传统胰肠吻合方式具有安全、快速、有效的特点,并不增加胰瘘的发生率。Objective To evaluate the efficacy and safety of Hong's pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy.Methods A retrospective analysis was carried out on 184 patients who underwent laparoscopic pancreaticoduodenectomy using Hong's pancreaticojejunostomy(the Hong’s pancreaticojejunostomy group)compared with 100 patients who underwent laparoscopic pancreaticoduodenectomy using traditional pancreaticojejunostomy(the traditional pancreaticojejunostomy group)at Department of Second Hepatobiliary and Pancreatic Surgery,the First Bethune Hospital of Jilin University,from April 2016 to December 2018.The differences between the two anastomotic methods in operation time,pancreaticojejunostomy time,intraoperative blood loss,postoperative hospital stay,postoperative complications,and incidences of pancreatic fistula were compared.Results The operation time,pancreaticojejunostomy time and intraoperative blood loss of the Hong's pancreaticojejunostomy group were significantly less than the traditional pancreaticojejunostomy group[(278.2±49.3)min vs.(337.3±67.4)min,(33.7±6.6)min vs.(46.8±8.5)min,(123.1±44.7)ml vs.(203.8±138.6)ml],respectively,(all P<0.05).There were no significant differences in postoperative hospital stay and pancreatic fistula rates between the two groups(all P>0.05).Conclusions Hong's pancreaticojejunostomy was safe,rapid and effective compared with traditional pancreaticojejunostomy.It did not increase the incidence of pancreatic fistula.

关 键 词：胰十二指肠切除术 腹腔镜 胰肠吻合术 

分 类 号：R73[医药卫生—肿瘤]