Objective To study the safety and feasibility of a new operative procedure called binding pancreaticojejunostomy ( BPJ) used to prevent anastomotic leakage following pancreatoduodenectomy ( PD). 目的介绍一种安全、有效、简单、实用的预防胰十二指肠切除术后胰肠吻合口漏的手术方法。
Application of modified end-to-side invagination pancreaticojejunostomy in pancreatoduodenectomy: an analysis of 21 cases 改良端侧套入式胰十二指肠吻合21例疗效分析
Side-to-side pancreaticojejunostomy in prevention of pancreatic fistula after pancreatoduodenectomy 胰管空肠侧侧吻合对胰十二指肠切除术后胰瘘的预防作用观察
Effect of End-to-end Invagination Pancreaticojejunostomy with Circle Discontinuous U Suture in Pancreatic Surgery; Application of modified end-to-side invagination pancreaticojejunostomy in pancreatoduodenectomy: an analysis of 21 cases 胰腺&空肠端端套入式间断U型缝合法吻合在胰腺外科中的应用改良端侧套入式胰十二指肠吻合21例疗效分析
Clinical Application of Peng's Binding Pancreaticojejunostomy to Prevent the Anastomotic Leakage 彭氏捆绑式胰肠吻合术在预防胰肠吻合口漏的应用
The clinic application of Peng's binding pancreaticojejunostomy in pancreaticoduodenectomy 捆绑式胰空肠吻合在胰十二指肠切除术中的临床应用
Objective To summarize the clinical experience of Peng's binding pancreaticojejunostomy, and compare the effect of type ⅰ and type ⅱ binding pancreaticojejunostomy. 目的总结彭氏捆绑式胰肠吻合术的临床应用经验,并将经改进的捆绑式吻合术(Ⅱ型)与原吻合术(Ⅰ型)的临床资料进行比较,评价其效果。
Results No anastomotic leakage, bile leakage and pancreatitis were discovered in 31 cases of catgut binding pancreaticojejunostomy. 结果肠线捆扎组31例患者术后未发生胰肠吻合口漏、胆漏及胰腺炎病例;
Objective: To summarize the effect of the modified binding pancreaticojejunostomy anastomosis technique in the operation for periampullar carcinoma in elderly patient. 目的:总结改良捆绑式胰肠吻合技术在老年壶腹周围癌行根治性手术中的疗效。
Operation treatment performed on 22 cases: Exploration of the pancreatic duct, taking-off stone, and Roux-Y-en pancreaticojejunostomy for 14 cases; 手术治疗(22例):胰管切开取石、胰管-空肠Roux-Y-en吻合术14例;
Peng's Type ⅱ Binding Pancreaticojejunostomy 彭氏Ⅱ型捆绑式胰肠吻合术
Prevention Pancreatic Fistula after Whipple Operation by Casing Stump Ends of Pancreas and Pancreaticojejunostomy ( Report of 27 Cases) 胰管空肠吻合胰腺残端套入法预防Whipple术后胰瘘(附27例报告)
The distal pancreatectomy, distal Roux-en-Y pancreaticojejunostomy. pancreatic duct repair and pyloric exclusion were performed in 4 patients with grade ⅳ injury. 4例Ⅳ级胰腺损伤行远端胰脾切除、远端Roux-en-Y胰空肠吻合、胰管吻合修补、幽门旷置术。
Conclusion Catgut binding pancreaticojejunostomy is an effective method which can reduce blood lost, operation time and complications. 结论应用肠线捆扎胰残端之胰肠吻合法可减少术中、术后胰腺残端的出血,术野清晰,操作简便,节省时间,可有效预防胰漏的发生。
Incidence rate of pancreatic fistula after pancreaticojejunostomy with end-to-end was 4.8%, and there was no incidence of pancreatic fistula when the anastomotic stoma of pancreaticojejunostomy with end-to-side was covered by pedunculated greater omentum. 胰肠端端吻合胰漏的发生率为4.8%,端侧吻合加吻合口周围附以带蒂大网膜无胰漏发生。
Conclusions: Pancreaticojejunostomy by the "binding technique" caused fewer pancreatic leakage and other complications. 结论:捆绑式胰肠吻合术有助于避免胰漏的发生,以及由此所致的各种其他并发症。
Conclusions The bundle-invagination ( pancreaticojejunostomy) can more effectively prevent pancreatic fistula and have less operation time. 结论套入捆绑式肠胰吻合手术方式能够较好的预防胰瘘,且手术时间明显缩短。
Pancreaticojejunostomy with a Jejunal Sero-Muscular Sleeve ── a New Technique to Prevent Postoperative Pancreatic Fistula 预防胰瘘的新术式&翻袖式空肠浆膜(肌)层胰腺吻合术
None of the methods of pancreatic stump had proved to be perfect in preventing pancreatic fistula, though pancreaticojejunostomy was the most widely practiced reconstruct strategy in varieties of option. For pancreaticojejunostomy and pancreaticogastrostomy, the rate of this complication was 12.3% and 11.1%, respectively. 结果胰腺残端的处理是预防胰瘘的关键,各种胰肠吻合术预防胰瘘作用有不同结果,胰胃和胰肠吻合术胰瘘的发生率分别为12.3%和11.1%左右。
Those patients who are difficult to rule out the appropriate line of malignant lesions should be performed pancreaticoduodenectomy, T-tube drainage of common bile duct, biliary-enteric anastomosis, pancreaticojejunostomy to relieve obstructive symptoms can still be short-term effect. 难以排除恶性病变患者宜行胰十二指肠切除术。胆总管切开T管引流,胆肠吻合,胰肠吻合可缓解梗阻症状,近期疗效尚可。
The improvement of pancreaticojejunostomy is important for prevention of pancreatic leakage. 改进胰肠吻合方法是预防胰漏发生的重要途径。