胰肠吻合术浅析及平行式胰肠吻合术新探  

A brief analysis of pancreatojejunostomy and a new exploration of parallel pancreatojejunostomy

作　　者：陈卫波 赵国栋 Chen Weibo;Zhao Guodong(Department of Hepatopancreatobiliary Surgery,the Third Affiliated Hospital of Soochow University,Jiangsu Changzhou 213003,China;Department of General Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]苏州大学附属第三医院肝胆胰外科,江苏常州213003 [2]上海交通大学医学院附属瑞金医院普外科,上海200025

出　　处：《腹部外科》2025年第1期12-14,25,共4页Journal of Abdominal Surgery

基　　金：国家自然科学基金(82303005);常州市卫健委重大科技项目(ZD202305);常州市“十四五”卫生健康高层次人才培养工程项目(2022260-67)。

摘　　要：胰肠吻合是最常见的胰腺消化道重建方式,也是胰十二指肠切除术中最关键的一步,很大程度决定了术后胰瘘及其他相关并发症的发生情况。随着胰腺外科的迅猛发展,胰肠吻合术的方法经历了不同改良。此文对近年来常见的胰肠吻合术的特点及发展趋势进行了评述,并提出了一种改良的胰肠吻合术式,即平行式胰肠吻合术,强调了操作要点及优势,以期为同道开展胰肠吻合术提供一定的借鉴。Pancreaticojejunostomy is the preferred method of pancreatic digestive tract reconstruction,serving as the most critical step in pancreaticoduodenectomy.It largely determines the occurrence of postoperative pancreatic fistula and other related complications.With the rapid development of pancreatic surgery,the method of pancreaticojejunostomy has undergone different improvements.This article reviewed the characteristics and development trends of common pancreaticojejunostomy in recent years,and proposed a modified pancreaticojejunostomy,namely parallel pancreaticojejunostomy,emphasizing the key points and advantages of the operation,and providing a certain reference for colleagues to perform pancreaticojejunostomy.

关 键 词：胰肠吻合术 平行式胰肠吻合术 

分 类 号：R615[医药卫生—外科学]