非穿透性血管及管状组织闭合系统在联合静脉切除的胰头癌根治术中的应用  

Non-penetrating vascular and tubular tissue closure system in radical resection of adenocarcinoma of pancreatic head combined with major venous resection and reconstruction

作　　者：张荟 吕少诚[1] 潘冰[1] 张兴茂 赵昕[1] 郎韧[1] 樊华[1] 贺强[1] Zhang Hui;Lyu Shaocheng;Pan Bing;Zhang Xingmao;Zhao Xin;Lang Ren;Fan Hua;He Qiang(Department of Hepatobiliary Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院肝胆外科,北京100020

出　　处：《中华普通外科杂志》2019年第12期1031-1034,共4页Chinese Journal of General Surgery

基　　金：国家自然科学基金(81471590)。

摘　　要：目的探讨非穿透性血管及管状组织闭合系统在联合静脉血管切除的胰头腺癌根治术中的应用效果。方法对2014年2月至2018年2月间的78例联合静脉切除的胰头癌根治术的临床资料进行回顾性分析,依据患者术中静脉重建是否使用血管吻合系统分为血管夹组(41例)和传统方法缝合组(37例)。分析比较两组患者术前资料、术中及术后恢复情况。结果两组均无围手术期死亡病例,围手术期并发症差异无统计学意义(P>0.05)。血管夹组患者的血管吻合时间为(18.6±3.3)min,明显短于传统缝合组(39.7±8.5)min(P<0.05)。两组患者之间在手术时间、术中出血量、术后ICU时间、术后住院时间及术后吻合口狭窄等均差异无统计学意义(P>0.05)。结论联合静脉切除的胰头癌根治术中使用血管闭合系统吻合静脉是安全可行的,较传统手工缝合能有效缩短血管重建的吻合时间。Objective To analyze the application and effect of non-penetrating vascular and tubular tissue closure system in radical resection of adenocarcinoma of pancreatic head combined with venous resection and reconstruction.Methods A retrospective analysis was made on the clinical data of 78 patients with pancreatic head cancer who underwent radical resection of venous vessels from Feb 2014 to Feb 2018.According to the intraoperative venous resection and anastomosis,the patients were divided into vascular clip group(41 cases)and traditional suture group(37 cases).The preoperative data,intraoperative and postoperative recovery of the two groups were analyzed and compared.Results There were no perioperative deaths and no significant differences in perioperative complications between the two groups(P>0.05).The anastomotic time of the clip group was(18.6±3.3)min,which was significantly shorter than that of the traditional suture group(39.7±8.5)min,(P<0.05).There were no significant differences in operation time,intraoperative bleeding volume,ICU time,hospital stay and anastomotic stenosis between the two groups(P>0.05).Conclusion It is safe and feasible to use vascular clip in venous vascular reconstruction in radical resection of carcinoma of the head of the pancreas combined with venous vascular resection.

关 键 词：胰十二指肠切除术 血管外科手术 并发症 

分 类 号：R73[医药卫生—肿瘤]