胰腺离断的技术方法
Techniques of pancreas dissection
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摘要:
胰腺手术的操作都涉及胰腺的离断。胰腺离断看似简单,但其实有很多临床医师不甚了解或重视不够之处。笔者总结自己的临床实践体会,从离断的器械、锐性离断和电外科器械离断的选择、胰颈断端血管的处理、断端胰管的处理、胰管断端开口的寻找、胰腺断端的闭合方法、胰腺残面的处理、不同质地胰腺的处理特点、胰腺区域离断的特点等方面来探讨如何更好地离断胰腺,提高手术疗效。
Abstract:Pancreatic dissection involved in all types of pancreatic surgery. Several aspects of pancreatic dissection remain unknown or undervalued, although it seems easy to manipulate. In this article, how to improve the surgical techniques of pancreatic dissection and improve the efficacies were introduced, which included the following aspects: surgical instruments selection, selection of sharpening dissection or electrosurgical instrument dissection, management of blood vessels and pancreatic ducts in the neck and body of pancreas, search of the opening of the pancreatic ducts, methods for the management of the cutting plane of pancreas, managing methods for pancreas with different textures, and regional dissection of pancreas.
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Keywords:
- Pancreatic surgery /
- Dissection
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