摘要
目的 探讨一种降低全胃切除联合远端胰腺切除术后胰漏发生的术式。 方法 1996年 3月～ 2 0 0 2年 12月 ,2 9例远端胰腺切除时 ,胰腺断端稍外凸 ,呈“ >”形 ,然后结扎主胰管 ,创面止血 ,利用代胃空肠制作带血管蒂浆肌瓣 ,用纤维蛋白胶将浆肌瓣与胰腺残端贴敷后丝线缝合 ,以保护胰腺残端。 结果 无胰漏、腹腔感染或脓肿及胰腺假性囊肿发生。 结论 带血管蒂空肠浆肌瓣有利于促进胰断面愈合 ,能有效地预防胰漏。
Objective To explore a method to reduce the occurrence of pancreatic leakage after total gastrectomy combined with distal pancreatectomy. Methods In 29 cases of distal pancreatectomy from March 1996 to December 2002, the pancreas was transected and the proximal stump was left with a slightly convex surface, the main pancreatic duct was ligated, and then the bleeding on the cut surface was stopped by sutures. A pedicled seromuscular jejunum flap was used to cover the cut surface of the pancreas with the use of fibrin glue. Results No pancreatic leakage, abdominal infection or abscess, or pancreatic pseudocyst occurred in 29 patients. Conclusions Seromuscular flap favors healing of pancreatic stump, effectively preventing the occurrence of pancreatic leakage.
出处
《中国微创外科杂志》
CSCD
2003年第3期252-253,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
胃癌
远端胰腺切除
胰漏
浆肌瓣
Gastric cancer
Distal pancreatectomy
Pancreatic leakage
Seromuscular flap
