胰瘘发生的相关危险因素

Risk factors of pancreatic fistula

摘要:
胰瘘是胰十二指肠切除术后最常见､最严重的并发症,严重影响手术疗效与预后｡胰瘘的危险因素不仅与胰腺质地､胰管直径及肿瘤部位等客观因素有关,还与术者经验及手术方式等主观因素有关｡胰肠双层吻合及胰管支架外引流可能有助于降低胰瘘的发生｡

Abstract:
Post-operative pancreatic fistula (POPF) is the most common and severe complication after pancreaticoduodenectomy, which may have significant impacts on curative effects and prognosis. It has been shown that POPF is not only closely associated with texture of pancreatic parenchyma, diameter of pancreatic duct and tumor site, but also affected by surgeon′s experience and surgical techniques. Double layer pancreaticojejunostomy and external pancreatic duct stent may be beneficial to decrease POPF.