摘要
应用新型袢式胆肠吻合术治疗梗阻性黄疸 37例,并与 11例 Roux—en—Y胆肠吻合术相对照观察,发现2组具有相同的弓黄效果及防返流作用,但Roux—en—Y组术后腹部不适、疼痛多于新型袢式吻合,36%(4/11)和6%(2/37);另新型袢式吻合操作简便,手术时间平均可缩短45分钟.经动物实验观察,大体病理,病理组织学及尸检进一步证实新型袢式胆肠吻合术为一操作简便,安全,更接近生理的术式.
In order to bypass the common bile duct obstruction,renovated jejunal loop cholecysto-je-junostomy,that is jejunal loop cholecysto-jejunostomy with ligated afferent loop at 2 cm off the cholecysto-je-junostomy anastomosis,was performed in 37 patients with obstructive jaundice due to advanced cancer from December 1988 to October 1993. All the patients were followed up for 3 - 6 months postoperatively. An upper G. I. barium X-ray exam was done for each of them. The results were compared with 11 cases operated onwith Roux-en-Y cholecysto-jejunostomy during the same period of time. The data indicated that both operations had excellent biliary juice bypassing function,but the patient with Roux-en-Y fashion experienced more discomfort and abdominal pain postoperatively, 36%(4/11)and 6%(2/37) respectively, a difference which might be contributed to more complicated operative procedures. The Roux-en-Y technic took 45 minutes to complete,and was longer in time averagely than the renovated jejunal loop cheftcysto-jejunostomy. In order to attest to the advantages of this new procedure,3 kinds of bypassing operations namely,the renovated jejunal loop,conventional jejunal loop and Roux-en-Y cholecyto-jejunostomy were performed on 6 dogs'2 each of the three procedures in Kurume University Hospital in Japan. The results obtained from this experimental study confirmed that the renovated jejunal loop cholecysto-jejunostomy was a more simple, easier and safer procedure to perform than the conventional ones with identical effect.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1994年第8期565-570,共6页
Chinese Journal of Clinical Oncology
关键词
新型袢式吻合
胆肠吻合本
梗阻性黄疸
Renovated jejunal loop cholecysto-jejunostomy Obstructive jaundice
