重视胰腺切除术后远期并发症的诊治  

Pay attention to the diagnosis and treatment of long-term complications after pancreatectomy

作　　者：张磊 楼文晖 Zhang Lei;Lou Wenhui(Department of Pancreatic Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院胰腺外科,上海200032

出　　处：《中华外科杂志》2022年第7期655-659,共5页Chinese Journal of Surgery

基　　金：国家自然科学基金(81773068,81972257);上海市自然科学基金(19ZR1409700)。

摘　　要：近年来,随着胰腺切除手术量逐年增加、综合治疗方法不断完善,良、恶性胰腺肿瘤术后长期生存的患者数量逐渐增多,胰腺术后远期并发症日益受到胰腺外科医师的关注。多年来,胰腺术后远期并发症在临床上缺少统一的定义、诊断标准和治疗规范等,间接影响了胰腺术后远期并发症患者的生活质量和临床研究的开展。本文通过回顾性分析文献,探讨了一些常见的胰腺术后远期并发症,包括胆肠吻合口狭窄、胰腺外分泌功能不全、胰腺术后内分泌功能不全、胰腺-消化道吻合口狭窄的定义、诊断标准和治疗策略,期待能改善胰腺切除术后远期并发症的治疗效果和患者的生活质量。Recently,with growing numbers of pancreatectomy and continuous improvement of comprehensive treatment,more patients have survived surgery of benign or malignant pancreatic tumors.As a result,pancreatic surgeons meet more long-term complications after pancreatic surgery.For many years,there is no uniform definition,diagnosis or therapeutic standard for long-term complications after pancreatic surgery.Such unsatisfactory situation has an indirectly negative impact on the life quality of patients as well as development of clinical research.By reviewing literature,the definition,diagnostic criteria and treatment strategies of some common long-term complications after pancreatic surgery were analyzed,including bilioenteric anastomotic stricture,pancreatic exocrine or endocrine insufficiency,and pancreatico-digestive tract anastomotic stricture,in order to improve the treatment effect of long-term complications and life quality of these patients.

关 键 词：胰腺切除术 手术后并发症 吻合口狭窄 胰腺外分泌功能不全 胰腺内分泌功能不全 

分 类 号：R735.9[医药卫生—肿瘤]