孙建明 1余华 1刘明忠 1王翔翔 1赵宇 1熊杰 1陈磊1
作者信息
- 1. 635000 四川省达州市中心医院肝胆外科
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of different anastomosis in pancreaticoduodenectomy. Met-hods 67 cases of pancreatoduodenectomy were selected as the research object, according to the different surgical methods, they were divided into the set in the pancreas intestines end to side anastomosis group (22 cases), bundled pancreatic end-to-end anastomosis group (21 cases) and bundled pancreas stomach anastomosis group (24 cases), compare the 3 groups’ aver-age operative time, amount of bleeding, hospitalization time, postoperative peritoneal fluid amylase level and postoperative pancreatic fistula rate. Results Set in the pancreas intestines end to side anastomosis group, bundled pancreatic end-to-end anastomosis group and bundled pancreas stomach anastomosis group’s mean operative time was (3. 68 ± 0. 42) h, (4. 02 ± 0. 56)h, (4. 56 ± 0. 72) h, blood loss were (421. 67 ± 20. 21) ml, (465. 84 ± 23. 56) ml, (485. 56 ± 27. 46) ml, respec-tively, the number of days of hospitalization were (22. 36 ± 2. 36) d, (21. 46 ± 3. 21) d, (20. 35 ± 2. 27) d, the first day af-ter peritoneal drainage fluid amylase levels were (50. 32 ± 0. 87) IU/L, (45. 65 ± 0. 79) IU/L, (42. 75 ± 0. 65) IU/L, the seven days after surgery peritoneal drainage fluid amylase levels were (8. 21 ± 0. 32) IU/L, (7. 01 ± 0. 25) IU/L,(6. 89 ± 0. 21)IU/L, the incidence of pancreatic fistula were 9. 1% (2/22), 9. 5% (2/21) and 12. 5% (3/24), the index differ-ence between the three groups were not statistically significant ( P >0. 05). Conclusion For patients received pancreati-coduodenectomy, different pancreatic anastomosis’ s clinical effects and the incidence of postoperative pancreatic fistula were similar.关键词
胰瘘/胰十二指肠切除术/吻合术/淀粉酶Key words
Pancreatic fistula/Pancreaticoduodenectomy/Anastomosis/Amylase
