摘要
胰瘘是胰十二指肠切除术后最常见的并发症，围绕预防胰瘘的研究仍然是外科医生关注的一个焦点。胰十二指肠切除术后，胰肠吻合通道的重建方式、手术医生的临床经验和技巧与术后胰瘘的发生密切相关。在复习了大量临床报道之后，结合本人的经验，笔者对半个多世纪来各种吻合方式以及新近开展的吻合技术进行了评价，阐述了胰肠吻合通道重建的基本要求和共同原则；比较了常用胰肠吻合方式的优、缺点，提出了各种吻合方式的相对适应证，强调了提高胰肠吻合通道的手术技巧的重要性和相关注意点。
Postoperative pancreatic fistula （POPF） is the most common complication after pancreaticoduodenectomy （PD） and remains a challenge to pancreatic surgeons. In pancreaticojejunostomy, the methods of reconstruction, experience and operational techniques of surgeons are closely related to POPF. Based on a literature review and on personal experience, the author presented the basic requirements and principle in reconstructing a safe pancreaticojejunostomy （PJ）. The traditional methods of pancreaticojejunostomy and their recent developments were evaluated, with their advantages and disadvantages compared. The indications of various types of PJ and the special skills required were summarized. According to his own experience, the author described in detail his recommended method of anastomosis.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2011年第11期876-878,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
胰十二指肠切除术
胰肠吻合
胰瘘
Pancreaticoduodenectomy
Pancreaticojejunostomy
Pancreatic fistula
