论文部分内容阅读
总结１０年中胰头十二指肠切除（Ｗｈｉｐｐｌｅ）术７６例。其中３０例用ＴＨ（α－氰基丙烯酸正丁酯）行残胰胰管栓塞术（栓塞组），４６例残胰和空肠行Ｃｈｉｌｅ法吻合术（吻合组）。结果，栓塞组无１例胰瘘和手术死亡。吻合组胰瘘５例，占１０．８７％，手术死亡４例（其中胰瘘者３例），手术死亡率为８．７０％。每例手术平均时间栓塞组比吻合组快５２分钟。由此说明：胰管栓塞具有预防Ｗｈｉｐｐｌｅ术后胰瘘、降低手术死亡率、简化手术程序等优点。
Summary In the past 10 years, 76 cases of pancreatic head duodenal resection (Whipple) were performed. Among them, 30 patients were treated with TH (α-cyanoacrylate) residual pancreatic duct embolization (embolization group), and 46 patients with residual pancreas and jejunum were subjected to Chilean anastomosis (anastomosis group). As a result, there was no pancreatic fistula and operative death in the embolization group. In the anastomosis group, there were 5 cases of pancreatic fistula, accounting for 10.87%, and 4 cases of surgical death (including 3 cases of pancreatic fistula). The surgical mortality rate was 8.70%. The average time of each surgery was 52 minutes faster in the embolization group than in the anastomosis group. This shows that: pancreatic duct embolism has the advantages of preventing Whipple postoperative pancreatic fistula, reducing operative mortality, simplifying the surgical procedure.