不同胰肠吻合方式对胰十二指肠切除术后胰瘘的影响  

The Effect of Different Pancreaticojejunostomy on Postoperative Pancreatic Fistula in Pancreaticoduodenectomy

作　　者：李智 杜立学[2] 

机构地区：[1]西安医学院研究生工作部,陕西 西安 [2]陕西省人民医院肝胆外科,陕西 西安

出　　处：《临床医学进展》2023年第11期17177-17184,共8页Advances in Clinical Medicine

摘　　要：胰十二指肠切除术(PD)是腹部外科难度最高的手术之一,适用于胰头癌、下段胆管癌、十二指肠癌、壶腹癌以及部分良性肿瘤的手术治疗。胰瘘(PF)是PD术后最严重、最凶险、最难管理的并发症,其发生是多方面因素共同作用的结果。现阶段胰腺残端主流的处理方式是胰肠吻合,胰瘘的发生受胰肠吻合方式和吻合质量的直接影响。本文将国内外PD手术胰肠吻合术式及其对PF的影响的研究现状和进展作一综述。Pancreaticoduodenectomy (PD) is one of the most challenging surgeries in abdominal surgery, suitable for surgical treatment of carcinoma of pancreatic head cancer, carcinoma of the lower bile duct, duodenal cancer, ampullary carcinoma and some benign tumors. Pancreatic fistula (PF) is the most serious, dangerous, and difficult to manage complication after PD surgery, and its occurrence is the result of a combination of multiple factors. At present, the mainstream handling method for pancreatic stumps is pancreaticojejunostomy, and the occurrence of pancreatic fistula is directly in-fluenced by the method and quality of pancreaticojejunostomy. This article provides a review of the current research status and progress on pancreaticojejunostomy for PD surgery and their impact on PF.

关 键 词：胰十二指肠切除术 胰肠吻合 胰瘘 

分 类 号：R73[医药卫生—肿瘤]