论文部分内容阅读
目的探讨对晚期胰腺癌所致的十二指肠梗阻和胆道梗阻同步行腹腔镜胃肠联合胆肠内引流术的可行性和临床疗效。方法回顾性分析我们于2002年1月~2006年6月对42例晚期胰腺癌病人行腹腔镜胃空肠吻合术联合胆囊空肠吻合术的临床资料。结果本组42例手术均获成功。手术时间为66~189min,平均(92±21)min;术中出血33~411ml,平均(65±23)ml;术后3~5d病人胃肠功能恢复;住院时间10~24d,平均(12.3±3.5)d。术后有2例发生切口感染,无其它手术并发症。术后病人恢复经口进食,黄疸逐渐消退。结论腹腔镜胃空肠、胆肠吻合姑息治疗晚期胰腺癌具有创伤小、长久保持经口进食,减黄彻底,病人术后痛苦轻、住院时间短等特点。
Objective To investigate the feasibility and clinical efficacy of laparoscopic combined gastrointestinal and gastrointestinal drainage for duodenal obstruction and biliary obstruction caused by advanced pancreatic cancer. Methods We retrospectively analyzed the clinical data of laparoscopic gastrojejunostomy and cholecystojejunostomy in 42 patients with advanced pancreatic cancer from January 2002 to June 2006. Results The 42 cases of surgery were successful. The operation time was 66 ~ 189min (mean, 92 ± 21) min. The intraoperative hemorrhage was 33 ~ 411ml, with an average of (65 ± 23) ml. The gastrointestinal function recovered 3 ~ 5d after operation. The average hospital stay was 12 ~ ± 3.5) d. There were 2 cases of incision infection after surgery, no other surgical complications. After the patient recovered oral intake, jaundice gradually subsided. Conclusions Laparoscopic gastrojejunostomy and cholangiojejunostomy are palliative for the treatment of advanced pancreatic cancer. They have long-term oral intake, thorough yellowing, less postoperative pain and shorter hospital stay.