胰十二指肠切除术胰肠吻合与胰胃吻合的评价

Evaluation of pancreaticojejunostomy and pancreatogas trostomy in pancreaticoduodenectomy

摘要:
胰瘘是胰十二指肠切除术后常见的并发症,由此继发大出血及腹腔感染等并发症是造成患者死亡的主要原因｡消化道重建方式的选择被认为是影响术后胰瘘发生的核心因素｡因此,合理选择吻合方式是决定胰十二指肠切除术成功的关键｡目前临床上应用最多的吻合方式大体上可分为胰肠吻合与胰胃吻合两种｡一直以来,学者们就何种吻合方式更具优势争论不止｡本文基于近年来的研究成果,通过主流胰肠吻合方式(如套入式胰肠吻合､捆绑式胰肠吻合及胰管对空肠黏膜吻合)与胰胃吻合方式的综合比较分析,评价两种吻合方式在防止术后胰瘘发生的效果｡

Abstract:
Pancreatic fistula is a common complication after pancreaticoduodenectomy (PD), and other complications occurred secondary to it such as hemorrhage and severe abdominal infection are also the main cause of death after PD. Proper selection of anastomotic methods is essential to the success of PD. The most common anastomotic methods can be divided into pancreaticojejunostomy and pancreatogastrostomy, but the effects of these methods have always been controversial consistently. In this paper, the effects of pancreaticojejunostomy and pancreatogastrostomy in the prevention of postoperative pancreatic fistula were synthetically analyzed based on recent research results.