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胰腺断端的处理,是胰头十二指肠切除术成败的最关键步骤。因为胰瘘是手术死亡的最重要原因,断端处理是否得当也影响术后远期消化功能。多年来,许多外科医生试图改进胰腺断端的处理方法,但胰瘘的发生率仍高达10～60％,手术死亡率在10～20％左右。作者自1979年4月开始,吸取食管癌切除术时用套叠法作食管胃吻合的经验,对胰头十二指肠切除时,也采用套叠法作胰空肠对端吻合术,至1982年7月,共连续应用6例,术后
Treatment of the pancreatic stump is the most critical step in the success or failure of pancreaticoduodenectomy. Because pancreatic fistula is the most important cause of surgical death, proper treatment of broken ends also affects postoperative long-term digestive function. Over the years, many surgeons have attempted to improve the management of pancreatic stumps, but the incidence of pancreatic fistulas is still as high as 10 to 60%, and the operative mortality is about 10 to 20%. Since April 1979, the authors have used intussusception for esophagogastric anastomosis when inducing esophageal cancer resection. He also used intussusception for pancreatic jejuno-to-end anastomosis during pancreatic head and duodenum resection. In July, a total of 6 consecutive applications were performed.