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双层连续缝合胰管-黏膜端侧胰肠吻合术20例临床分析
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Pancreatology
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1674-1935.2014.04.016
- Key Word:
- No keyword available
Abstract： 经历了100多年的探索、研究与改进,胰十二指肠切除术(pancreaticoduodenectomy,PD)的死亡率已经降至5％以下[1-2].尽管如此,PD的术后并发症发生率依然居高不下,其中胰瘘的发生率为15％ ～ 25％[3].胰肠吻合技术是胰十二指肠切除术消化道重建最重要的一环.目前临床上胰管空肠吻合的方式多种多样,但无论用哪种方式都无法避免胰瘘的发生.本研究对传统的胰管-空肠黏膜端侧胰肠吻合术进行改良,在2012年至2013年间连续应用于20例患者,术后无1例发生胰瘘,现报道如下.
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