摘要
对１５例壶腹部周围癌的患者实施胰十二指肠切除术，行胰肠吻合时，采用翻袖式空肠浆膜（肌）层胰腺吻合技术，术后无１例胰瘘发生。本术式改变了传统的胰肠吻合位置，将实际吻合部位远离胰肠断缘，对预防胰瘘效果显著。
A new technique of pancreaticojeunostomy for the prevention of postoperative pancreatic fistula is reported. In 15 cases of Child′s operations, circumferential incision was made on the jejunum stump 2～2. 5 cm distal to the cut margin and deep through the serosal and superficial longitudinal muscular layers. The proximal serosal and superficial muscular layers were elevated and turned proximally 1～1. 3 cm to the cut margin, resulting in a sleeve-like lengthening of the jejunum stump. Then the pancreatic stump was inserted into the sero-muscular sleeve to meet the jejunal stump. The anastomosis was completed by suturing the margin of the sero-muscular sleeve to the capsule of the pancreas securely. The resultant overlapping of 1～1. 2 cm of the jejunal sleeve and the pancreatic stump formed a waterlight anastomosis.No pancreatic fistula occurred in the 15 cases operated upon with this technique. The efficacy of the technique has also been supported by experimental studyies in animal models. The au thors advocate the technique for further clinical trial.
关键词
胰肠吻合
胰瘘
翻袖式
pancreaticojejunostomy
pancreatic fistula
turn cuff
