摘要
本文报告我科近两年来对26例全胃并尾侧半胰加脾切除时胰腺残端的处理方法。首先确定胰腺的切断线,然后行垂直切除,遇索状管条用钳夹之,切断后再在胰腺断面中央仔细观察寻找主胰管用细丝线结扎之,继之将胰腺残端用粗丝线“8”字缝扎一道,结扎时松紧度要合适,以无活动性出血及胰液外漏为宜。作者采用以上措施,26例中无1例胰瘘发生。
This paper reports on the handling of the pancreatic stump after total gastrectomy and caudal half-pancreatectomy and splenectomy in 26 cases in our hospital during the last two years,In 26 such cases following determination of the line of section of the pancreas effort was made to look for and ligate the common pancreatic duct with silk suture.The tightness of ligatures must be optimal.No pancreatic fistula occurred in this series.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1992年第3期169-170,共2页
Chinese Journal of Clinical Oncology
关键词
胰腺残端
胰瘘
胃肿瘤
切除
脾
Total gastrectomy
Distal-pancreatectomy
Pancreatic stump
