胰十二指肠切除术前不同减黄方式对术后并发症的影响  

Effect of different biliary drainage before pancreaticoduodenectomy on postoperative complications

作　　者：韩青雷 宋铭杰 李佳隆 邵英梅 Han Qinglei;Song Mingjie;Li Jialong;Shao Yingmei(Department of Hepatobiliary Hydatid Diseases,Digestive and Vascular Surgery Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院消化血管外科中心肝胆包虫病科,乌鲁木齐830054

出　　处：《中华普通外科学文献（电子版）》2023年第2期144-147,共4页Chinese Archives of General Surgery(Electronic Edition)

基　　金：省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2020-B);新疆维吾尔自治区高校科研计划项目(XJEDU2021I016)。

摘　　要：胰十二指肠切除术已成为外科治疗胰头、壶腹部周围肿瘤等良恶性疾病的标准术式,该手术切除器官范围广、吻合难度大,是肝胆胰腺外科最复杂手术之一。由于壶腹部周围肿瘤常常压迫胆管引起梗阻性黄疸,可导致肝功能障碍、凝血功能异常、细菌移位继发胆管炎等,使患者术后并发症风险增高。近年来,对于胰十二指肠切除术前采用何种减黄方式存在争论。本文就不同减黄方式选择对胰十二指肠切除术后并发症的影响进行综述。Pancreaticoduodenectomy has become the standard surgical procedure for benign and malignant diseases such as tumors of the pancreatic head and periampullary tumors.It is one of the most complex operations in hepatobiliary and pancreatic surgery because of its wide range of resection and difficult anastomosis.Since the periampullary tumor often compresses the biliary tract and causes obstructive jaundice,it can lead to liver dysfunction,abnormal coagulation function,bacterial translocation and secondary cholangitis,which increases the risk of postoperative complications.In recent years,there are controversies about the method of preoperative biliary drainage for patients undergoing pancreaticoduodenectomy.This article reviews the effect of different biliary drainage methods on postoperative complications after pancreaticoduodenectomy.

关 键 词：胰十二指肠切除术 术前减黄 术后并发症 

分 类 号：R657.5[医药卫生—外科学]