腹腔镜包卷式胰管空肠吻合术

Application of wrapping pancreatic duct jejunum anastomosis in laparoscopic pancreaticoduodenectomy

摘要:
胰肠吻合是腹腔镜胰十二指肠切除术的难点｡如何改进胰肠吻合方式､减少术后胰瘘的发生是临床医师不断探索的问题｡2002年11月至2012年3月广西医科大学第一附属医院对34例行腹腔镜胰十二指肠切除术的壶腹周围癌患者采用包卷式胰管空肠吻合术进行胰肠重建,效果良好,仅2例患者术后发生A级胰瘘｡本研究结果显示:包卷式胰管空肠吻合在腹腔镜胰十二指肠切除术中是一种快速､安全､有效的消化道重建方法｡

Abstract:
Pancreaticojejunostomy is a difficult procedure in laparoscopic pancreaticoduodenectomy. How to improve the method of laparoscopic pancreaticojejunostomy and decrease the incidence of pancreatic leakage is a neverending issue for clinicians. From November 2002 to March 2012, the digestive tract of 34 patients who received laparoscopic pancreaticoduodenectomy at the First Affiliated Hospital of Guangxi Medical University was constructed by wrapping pancreatic duct-jejunum anastomosis, and satisfactory outcomes were observed except for 2 patients with slight pancreatic leakage. The results of the study showed that wrapping pancreatic duct-jejunum anastomosis is a fast, safe and effective method for pancreaticojejunostomy.