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A report of 100 cases on the binding pancreaticojejunostomy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PANCREATOLOGY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1674-1935.2001.01.017
- Key Word:
- 胰十二指肠切除术;胰肠吻合;捆绑式胰肠吻合术;胰漏
Abstract： 目的探讨捆绑式胰肠吻合术在胰十二指肠切除术后预防胰肠吻合口漏的临床价值.方法1996年1月～2000年1月间共施行100例捆绑式胰肠吻合术,并与同期94例用传统方法吻合的病例进行对比.捆绑式胰肠吻合手术方法为先将空肠断端向外反摺3cm,将外翻的粘膜用石炭酸破坏3 cm;游离胰断端3 cm,将其断端与距离空肠断端3 cm的空肠粘膜缝合一圈,注意缝针不穿透浆肌层.将反摺的空肠复位后,胰断端就自然进入肠腔之中(长约3 cm),其表面被缺失粘膜的空肠所覆盖,距离断端1 cm用可吸收缝线环绕空肠进行捆绑,令空肠与其腔内的胰残端紧密相贴,然后结扎完成手术,术后观察总体恢复情况,B超定期检查残端有无积液等.结果全组100例,无一例发生胰漏,残端没有积液.结论捆绑式胰肠吻合术十分安全,能够防止胰肠吻合口漏的发生,且操作简单,不论胰腺质地软硬或胰管有无扩张均可使用,值得进一步推广.
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