腹腔镜外科杂志2024，Vol.29Issue(2)：86-90,97,6.DOI:10.13499/j.cnki.fqjwkzz.2024.02.086
"一针法"胰肠吻合方式在腹腔镜胰十二指肠切除术中的初期应用体会
Initial application of"one stitch method"pancreaticoenterostomy in laparoscopic pancreaticoduodenectomy
摘要
Abstract
Objective:To investigate the initial application effect of"one stitch method"in the laparoscopic pancreatoduode-nectomy(LPD).Methods:Clinical data of 34 LPD patients who underwent pancreaticoenterostomy with the"one stitch method"crea-ted by professor Hong Defei were retrospectively analyzed from Jan.2019 to Dec.2019.Results:LPD was successfully performed in 34 patients.The operation time was 305.0(280.0,327.5)min,the pancreaticojejunostomy time was 41.5(38.0,45.0)min,the intraopera-tive blood loss was 210.0(172.5,243.8)mL,and the postoperative hospital stay was 13.5(10.3,15.8)d.The incidence of postopera-tive pancreatic fistula was 14.7%(5/34),including 4 cases of grade B pancreatic fistula and 1 case of grade C pancreatic fistula.The incidence of biliary leakage was 5.9%(2/34).The incidence of delayed gastric emptying was 11.8%(4/34),including 3 cases of grade A,1 case of grade B and 0 case of grade C.The incidence of bleeding was 8.8%(3/34).The incidence of abdominal infection was 2.9%(1/34).The incidence of incision infection was 5.9%(2/34).Reoperation was performed in 2.9%patients(1/34).There was no perioperative death.Conclusions:The application of"one stitch method"in the early stage of LPD is safe and reliable,can effectively reduce the difficulty of surgery,and has certain help for LPD beginners to smoothly overcome the early learning curve,which is worthy of learning and promotion for LPD beginners in clinical work.关键词
胰十二指肠切除术/腹腔镜检查/一针法/胰瘘Key words
Pancreaticoduodenectomy/Laparoscopy/One stitch method/Pancreatic fistula分类
医药卫生引用本文复制引用
王志成,陈石磊,周帅,汪玲,秦锡亮,金浩,刘会春,王勇,庞青,胡小四,潘洪涛,朱超.."一针法"胰肠吻合方式在腹腔镜胰十二指肠切除术中的初期应用体会[J].腹腔镜外科杂志,2024,29(2):86-90,97,6.基金项目
安徽省卫健委科研项目(AHWJ2022b032) （AHWJ2022b032）
安徽省教育厅重点项目(2022AH052337) （2022AH052337）
蚌埠医学院研究生科研创新计划立项项目(Byycx23120) （Byycx23120）
