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目的 探讨降低胰十二指肠切除术后并发症及死亡率的措施。方法 回顾性分析 1988～ 1998年间连续施行的 6 0例胰十二指肠切除术的并发症及死亡率 ,总结其经验与教训。结果 本组 6 0例术后出现并发症的 18例 (30 % ) ,其中胰瘘 8例。住院期死亡 2例(3 3% )。采用单层吻合技术进行胰肠、胆肠重建的 14例无 1例术后并发胰瘘及胆瘘 ,亦无手术死亡。结论 降低胰十二指肠切除术后并发症及死亡率的关键在于外科手术操作的精细及积极的围术期处理。单层吻合技术用于胰十二指肠切除胰肠、胆肠重建是降低术后胰瘘、胆瘘的有效措施。
Objective To investigate the measures to reduce the postoperative complications and mortality of pancreaticoduodenectomy. Methods A retrospective analysis of 60 consecutive cases of pancreatoduodenectomy between 1988 and 1998 complications and mortality, summed up their experience and lessons learned. Results The group of 60 cases of postoperative complications occurred in 18 cases (30%), of which 8 cases of pancreatic fistula. Inpatient death in 2 cases (33%). There was no case of pancreatic fistula and biliary fistula in 14 cases with single-layer anastomosis for pancreatic and gallbladder reconstruction. There was also no operative death. Conclusion The key to reducing complications and mortality after pancreatoduodenectomy is the fine and aggressive perioperative management of surgical procedures. Single-layer anastomosis technology for pancreaticoduodenectomy pancreatic, rectal reconstruction is to reduce postoperative pancreatic fistula, biliary fistula of the effective measures.