摘要
我院１９６８年８月至１９９３年７月施行胰十二指肠切除术（Ｗｈｉｐｐｌｅ）３５例，发生胰瘘１例，胆瘘４例，发生率为１４ｊ％。为了防止胰胆瘘的发生，采取改进消化道的重建方法：胰空肠端侧吻合法改为胰空肠端端吻合法；保留幽门胰胃端侧套入荷包缝合法改为胃远端切除胰胃端侧套入荷包缝合法。远期疗效相对５年生存率为５０％，绝对５年生存率为５５％。
From August l968 to july l993,
35 patients with pancreatic and peri ampullar Carcinoma underwent
duodenopancreatecto my. In order to prevent the severe co mpl ication
of the pomcreatic and biliary anastomotic leak age we developed the
method of reconstruction by using end-to-end pancreaticojejunostony
instead Of end-to -side Pancreaticojejunostony and resection of the
pyloras instead of unresection of the pyloras of end-to- side
pancrectogastrostomy。The 5-year relative survival rate of the
patients who underwent tumor resection was 50 %。
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1995年第2期118-119,共2页
Chinese Journal of Cancer
关键词
胰十二指肠切除
胰胆瘘
防治
并发症
Duodenopancreatectomy prevent The pancreatic an d biliary
anas-tomotic leakage
