胰十二指肠切除术后胆瘘及胰瘘的防治53例
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徐来喜, 余少鸿, 陈先锋
胰十二指肠切除术;胆瘘;胰瘘,徐来喜,余少鸿,陈先锋,通讯作者,Preventionandtreatmentofpancreaticandbiliaryfis
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徐来喜, 余少鸿, 陈先锋, 重庆医科大学附属涪陵医院肝胆外科 重庆市 408000
通讯作者: 徐来喜, 408000, 重庆涪陵区高笋塘路2号, 重庆医科大学附属涪陵医院肝胆外科. pioneersemailbox@sina.com
电话: 023-72230473 传真: 023-72224460
收稿日期: 2006-02-23 接受日期: 2006-03-11
Prevention and treatment of pancreatic and biliary fistula after pancreatoduodenectomy: an analysis of 53 cases
Lai-xi Xu, Shao-hong Yu, Xian-feng Chen
Lai-xi Xu, Shao-hong Yu, Xian-feng Chen, Department of Hepatocholesurgery, Fuling Affilited Hospital of Chongqing University of Medical Sciences, Chongqing, China. 408000
Correspondence to: Lai-xi Xu, Department of Hepatocholesurgery, Fuling Affilited Hospital of Chongqing University of Medical Sciences, 2 Gaosuntang Road, Fuling District, Chongqing 408000, China. pioneersemailbox@sina.com
Received: 2006-02-23 Accepted: 2006-03-11
Abstract
AIM: To conclude the experiences in the preven-tion and treatment of pancreatic and biliary fistula after pancreatoduodenectomy.
METHODS: We retrospectively analyzed 53 cases received pancreatoduodenectomy from March, 1999 to November, 2005. All the cases were treated with Child’s procedure and Peng’s Binding pancreaticojejunostomy.
RESULTS: Of 53 cases, 5 suffered complications, including 1 case of pancreatic fistula (1.9%), 3 cases of blooding in abdominal cavity (5.7%), and no case of biliary fistula (0%). No cases died and 5 cases with complications were all cured.
CONCLUSION: Improvement of operation skill and treatment of pancreaticojejunostomy and cholangiojejunostomy can help to prevent pancreatic and biliary fistula after pancreatoduodenectomy.
Key Words: Pancreatoduodenectomy; Pancreatic fistula; Biliary fistula
Xu LX, Yu SH, Chen XF ......
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