Abstract:

【Abstract】 Objective To investigate the effects of pancreaticojejunostomy with a pancreatic duct plastic operation during pancreaticoduodenectomy on prevention of pancreatic fistula. Methods From January 2012 to December 2012,.27 patients underwent pancreaticoduodenectomy with pancreatic duct plastic operation without any stent for internal or external drainage for pancreaticojejunostomy. Results All 27 patients were performed the pancreatic duct plastic operation and the operations were completed successfully..The inner diameter of the main pancreatic duct ranged from 2.5 mm to 8.0 mm. According to the International and domestic diagnostic criteria pancreatic fistula,.the pancreatic fistula occurred in 2 cases (Grade A)..The postoperative hospital length of stay was 10 to 14 days. Conclusion The pancreatic duct plastic operation with pancreaticojejunostomy without any stent for internal or external drainage simplifys operation procedure for pancreaticoduodenectomy,.and it has a low pancreatic fistula, and might shorten postoperative hospitalization time.

Key words: Pancreaticoduodenectomy, Pancreaticojejunostomy, Pancreatic duct shaping, Pancreatic leakage

摘要：

【摘要】 目的 探讨无支架管引流胰管成型法胰肠吻合在胰十二指肠切除术的应用方法和胰瘘的预防。方法 自2012年1月至12月,27例胰十二指肠切除术胰肠吻合全部行胰管成型,不放置支架管内引流或外引流。结果 27例胰管内径2.5~8.0 mm,全部完成胰管成型胰肠吻合术,根据国际及国内胰瘘诊断标准,胰瘘发生2例,发生率7.4%,均为A级胰瘘,术后总住院时间10~14天。结论 无支架管引流胰管成型法胰肠吻合简化了胰十二指肠手术,胰瘘发生率较低,明显缩短了住院时间。

关键词: 胰十二指肠切除, 胰肠吻合, 胰管成型, 胰漏