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胰、胆、胃、空肠Roux-Y吻合型胰十二指肠切除术30例报告

马优钢 李晓松 陈汉 吴孟超

中德临床肿瘤学杂志(英文版)2002,Vol.1Issue(3):166-167,2.
中德临床肿瘤学杂志(英文版)2002,Vol.1Issue(3):166-167,2.

胰、胆、胃、空肠Roux-Y吻合型胰十二指肠切除术30例报告

Pancreaticoduodenectomy with Roux-Y Anastomosis to Reconstruct the Digestive Tract: A Report of 30 Cases

马优钢 1李晓松 1陈汉 1吴孟超1

作者信息

  • 1. 上海东方肝胆外科医院,200438
  • 折叠

摘要

Abstract

Objective To explore the ways how to decrease the morbidity and mortality of pancreaticoduodenectomy(PD).Medthods In 30 cases of PD, a free vascularized jejunal loop was used to perform single loop Roux-Y anastomosis to reconstruct the digestive tract.Results The morality rate was zero and there were no cases of leakage at the pancraticojejunostomy and choledocojejunostomy. All patients were discharged from hospital 10-14 days after operation. Postoperative follow-up of long-term choronic complications showed only one patient (3.33%) suffered from chronic steatorrhea and malnutrition, the remaining 29 cases (96.67%) had a good function of digestion and normal nutrition. There were no cases of biler reflux gastric disease, retrograde infection, anastomostic ulcer of gastrojejunostomy, and dumping syndrome. Conclusion This surgical procedure can effectively reduce the morbidity and the mortality of PD.

关键词

胰十二指肠切除术/胰腺癌/壶腹周围癌/胰瘘

Key words

pancreaticoduodenectomy/pancreatic cancer/periampullary carcinoma/pancreatic fistula

分类

医药卫生

引用本文复制引用

马优钢,李晓松,陈汉,吴孟超..胰、胆、胃、空肠Roux-Y吻合型胰十二指肠切除术30例报告[J].中德临床肿瘤学杂志(英文版),2002,1(3):166-167,2.

中德临床肿瘤学杂志(英文版)

2095-9621

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