腹腔镜胰十二指肠切除术中胰肠吻合术式分析  

Analysis of pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy

作　　者：李庆斌 李光兵 李飞宇 蒋利勇 蒋勇 刘军 Li Qingbin;Li Guangbing;Li Feiyu;Jiang Liyong;Jiang Yong;Liu Jun(Department of Organ Transplantation and Second Hepatobiliary Surgery,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东第一医科大学附属省立医院器官移植肝胆外二科,济南250021

出　　处：《中华肝胆外科杂志》2023年第2期155-160,共6页Chinese Journal of Hepatobiliary Surgery

基　　金：国家自然科学基金(81373172、81770646)。

摘　　要：腹腔镜胰十二指肠切除术是目前治疗胰头及壶腹周围良恶性肿瘤的主要方法。术后胰瘘是导致术后死亡的主要因素,而胰肠吻合术式则是胰瘘的独立危险因素。为了降低胰瘘的发生率,外科医师提出了数十种胰肠吻合的手术方式,但迄今为止尚未有随机试验证明哪种胰肠吻合方式全面优于其他方法。本文就腹腔镜胰十二指肠切除术中不同胰肠吻合的方式及特点做一综述。Laparoscopic pancreaticoduodenectomy is an important surgical undertaking,mostly used for benign and malignant tumors in the pancreatic head and periampullary region.The postoperative pancreatic fistula is the main factor to cause death after pancreaticoduodenectomy,and pancreaticojejunostomy is an independent risk factor for pancreatic fistula.In order to reduce the incidence of pancreatic fistula,surgeons have proposed dozens of pancreaticojejunostomy,but so far there are no randomized trials proved which method of pancreaticojejunostomy is better than the others.This article reviews the methods and characteristics of different pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy.

关 键 词：腹腔镜检查 胰十二指肠切除术 胰肠吻合 胰瘘 

分 类 号：R735.9[医药卫生—肿瘤]