外科理论与实践2011，Vol.16Issue(5)：452-454,3.
捆绑式胰肠端侧吻合术
End-to-side binding pancreaticojejunostomy
黄从云 1彭淑牖 2朱剑华 1吴青松 1赵家锋 1张小龙1
作者信息
- 1. 广东省韶关市汕头大学医学院附属粤北人民医院肝胆外科,广东韶关512026
- 2. 浙江大学医学院附属邵逸夫医院普外科,浙江杭州310016
- 折叠
摘要
Abstract
Objective To explore the value of a new surgical technique of end-to-side binding pancreaticojejunostomy in pancreaticoduodenectomy and middle segmental pancreatectomy. Methods From Mar 2009 to Mar 2011,7 patients (pancreatic head cancer in 3 cases,middle pancreatic cancer in 2 cases and mass-type chronic panereatitis in 2 cases) were performed with end-to-side binding pancreaticojejunostomy in pancreaticoduodenectomy (n=5) and middle segmental pancreatectomy(n=2), including partial resection and repair of the superior mesenteric-portal vein or splenic vein(n=2) and large pancreas remnant (n=2). The main procedures include isolation of the pancreatic remnant, incising the jejunal wall and preplacing with seromuscular purse-string suture around the incision, performing end-to-side binding pancreaticojejunostomy, pulling the pancreas remnant into the jejunal lumen, the jejunal wall sutured to the the retroperitoneal tissue for fixation and tying the pre-placed purse-string suture. Results The procedures were successful in all 7 patients. Postoperative complications included incision infection in 1, incisional hernia in 1, no biliary leakage and pancreaticojejunal leakage. Conclusions The application of end-to-side binding pancreaticojejunostomy can prevent the anastomotic leakage, especially in case of high discrepancy between a small jejunum and a large pancreatic remnant, and enhance the safety for pancreaticoduodenectomy and middle segmental pancreatectomy.关键词
胰十二指肠切除术/胰腺中段切除术/端侧吻合/捆绑式胰肠吻合术Key words
PancreaticoduodenectomyMiddle segmental pancreatectomy/End-to-side anastomosis/ Binding pancreaticojejunostomy分类
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黄从云,彭淑牖,朱剑华,吴青松,赵家锋,张小龙..捆绑式胰肠端侧吻合术[J].外科理论与实践,2011,16(5):452-454,3.
