CAJ | 학술논문

目的探讨胰十二指肠切除术(PD)后胰瘘的原因及防治经验.方法回顾性分析209例胰十二指肠切除术患者的临床资料,对术后胰瘘的原因、预防、治疗进行分析.结果胰瘘的发生与年龄、性别、胰腺质地,术前有无黄疸、贫血、低蛋白血症以及不同的胰肠吻合方式无相关性.而不同的手术组别(手术技巧等)与胰瘘发生率比较差异有统计学意义.结论恰当的围术期处理,娴熟的手术操作能够明显降低胰瘘的发生率,且胰、肠吻合方式的个体化处理是预防PD术后胰瘘发生的关键.
목적 탐토이십이지장절제술(PD)후이루적원인급방치경험.방법 회고성분석209례이십이지장절제술환자적림상자료,대술후이루적원인、예방、치료진행분석.결과 이루적발생여년령、성별、이선질지,술전유무황달、빈혈、저단백혈증이급불동적이장문합방식무상관성.이불동적수술조별(수술기교등)여이루발생솔비교차이유통계학의의.결론 흡당적위술기처리,한숙적수술조작능구명현강저이루적발생솔,차이、장문합방식적개체화처리시예방PD술후이루발생적관건.
Objective To discuss the experiences in the prevention and treatment of pancreatic fistula after pancreaticoduodenectomy. Methods We retrospectively analyzed 209 cases received pancreaticoduodenectomy from 1995 to 2010. We analyzed the causes of pancreatic fistula, prevention and treatment of pancreatic fistula. Results Incidence of pancreatic fistula had no significant difference betweenthe different age, gender, pancreatic texture, with or without preoperative jaundice, anemia, hypoproteinemia and different surgical approach of pancreatojejunostomy. Incidence of pancreatic fistula had significant difference between different surgical groups (surgical techniques). Conclusions Appropriate perioperative management, skilled surgical operation can significantly reduce the incidence of pancreatic fistula. Skilled surgical operation, particularly pancreatic and intestinal anastomosis individualized treatment is crucial to prevent pancreatic fistula after PD.