目的探討胰管引流與非引流在預(yù)防胰十二指腸切除術(shù)后胰瘺發(fā)生的作用。方法我們回顧性地分析了76例胰十二指腸切除病例，手術(shù)范圍包括遠(yuǎn)端半胃、膽總管、胰頭、十二指腸整塊切除； 消化道重建采用胰空腸端側(cè)吻合或胰管空腸粘膜端側(cè)吻合，76例中45例胰管內(nèi)安置外引流，31例未安置胰管引流。結(jié)果胰管外引流45例中，1例(2.2%)發(fā)生胰瘺； 而31例未安置胰管外引流病例中7例(22.6%)發(fā)生胰瘺，胰管外引流組術(shù)后胰瘺發(fā)生率明顯低于胰管非引流組(P＜0.05)。結(jié)論胰十二指腸切除胰腸吻合時胰管內(nèi)安置外引流能降低術(shù)后胰瘺的發(fā)生率，值得臨床應(yīng)用。
引用本文： 孫汴生,楊漢新,王勇強,馬忠明,宋念. 胰管引流與非引流在預(yù)防胰十二指腸切除術(shù)后胰瘺發(fā)生的作用觀察. 中國普外基礎(chǔ)與臨床雜志, 2002, 9(2): 118-120. doi: 復(fù)制
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- 4. Roder SD,Stein HJ,Bottcher KA,et al. Stented versus nonstented pancreaticojejunostomy after pancreatoduodenectomy [J].Ann Surg,1999; 229(1)∶41.
- 5. Marcus SG,Cohen H,Ranson JHC. Optimal management of the pancreatic remnant after pancreaticoduodenectomy [J].Ann Surg,1995; 221(6)∶635.
- 6. Fernandezdel Castillo C,Rattner DW,Warshaw AL. Standards for pancreatic resection in the 1990s [J].Arch Surg,1995; 130(3)∶295.
- 7. Miyagawa S,Makuuchi M,Kawasaki S,et al. Secondstage pancreatojejunostomy following pancreatoduodenectomy in highrisk patients [J].Am J Surg,1994; 168(1)∶66.