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为了进一步探讨如何降低胰牛二指肠切除术的死亡率,我科在1984年4月至1996年3月间,在对国内、外文献的大量研究和尸体标本上进行反复解剖基础上,共施行了胰十二指肠切除术34例,手术死亡1例,与国内文献死亡率5％相比有所降低。本文提出了如何降低胰十二指肠切除术并发症的理论基础和术中技术改进,并重点提出术前纠正黄疸所致的病理改变而引起一系列的并发症,是降低胰十二指肠切除术死亡率的关键。
In order to further explore how to reduce the mortality rate of pancreatic bovine duodenal resection, our department was conducted from April 1984 to March 1996 on the basis of repeated anatomy of a large number of studies on domestic and foreign literature and cadaveric specimens. Pancreaticoduodenectomy was performed in 34 patients and one patient died of surgery, which was lower than the 5% mortality in the domestic literature. This article proposes how to reduce the theoretical basis of the complications of pancreatoduodenectomy and the technical improvement in the surgery, and puts forward that correcting the pathological changes caused by jaundice before surgery to cause a series of complications is to reduce the pancreatic duodenum The key to resection mortality.