中国现代手术学杂志2012，Vol.16Issue(4)：249-252,4.
保留十二指肠胰头勺式切除与Whipple术治疗慢性胰腺炎并胰头结石的对比研究
Comparative Study of Duodenum-preserving Pancreatic Head Spoon Type Resection and Whipple Operation for Chronic Pancreatitis with Pancreatic Head Stones
刘昌军 1杨尽晖 1尹新民 1梁路峰 1沈贤波 1陈梅福 1周海兰 1吴金术1
作者信息
- 1. 湖南省人民医院湖南省肝胆医院,长沙410005
- 折叠
摘要
Abstract
Objective To explore the value of duodenum-preserving pancreatic head spoon resection in the treatment of chronic pancreatitis with pancreatic head stones. Methods 64 cases with pancreatic head stones were treated by duodenum-preserving pancreatic head spoon type resection ( group I, n = 24) and Whipple operation (group II, n=24). The operative duration, intra-operative blood loss, postoperative blood glucose and bilirubin, pain relief rate, hospitalization duration and complication rate were compared between two groups. Results There was obviously statistic difference in operative time and blood loss volume between two groups (P < 0.05). Postoperative blood glucose, bilirubin changes and abdominal pain remission rate was no significant difference between two groups (P >0.05). And hospital stay and complication rate has statistic difference between two groups (P <0.05). Conclusion The surgery of duodenum-preserving pancreatic head spoon resection is safe and feasible for chronic pancreatitis with pancreatic head stone, relative to pancreaticoduodenectomy, it has features with relatively small trauma, rapid postoperative recovery, shorter hospital stay and low risk of complications.
关键词
保留十二指肠/胰腺炎,慢性/结石/胰十二指肠切除术Key words
duodenum-preserving/ pancreatitis, chronic/ calculi/ pancreaticoduodenectomy分类
医药卫生引用本文复制引用
刘昌军,杨尽晖,尹新民,梁路峰,沈贤波,陈梅福,周海兰,吴金术..保留十二指肠胰头勺式切除与Whipple术治疗慢性胰腺炎并胰头结石的对比研究[J].中国现代手术学杂志,2012,16(4):249-252,4.
