上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2014年
8期
12-14
,共3页
程合%刘辰%鹿语%徐永锋%虞先濬
程閤%劉辰%鹿語%徐永鋒%虞先濬
정합%류신%록어%서영봉%우선준
胰腺肿瘤%胰体尾切除术%胰瘘%直线切割闭合器%手工缝合
胰腺腫瘤%胰體尾切除術%胰瘺%直線切割閉閤器%手工縫閤
이선종류%이체미절제술%이루%직선절할폐합기%수공봉합
pancreatic neoplasms%distal pancreatectomy%pancreatic leak or ifstula%stapler closure%hand-sewn
目的:研究在胰体尾切除术中手工缝合和直线切割闭合器封闭胰腺残端对术后胰瘘等并发症的影响。方法:2011年4月至2014年1月收治158例胰腺病变患者,行胰体尾切除术,其中97例在开腹手术中采用手工缝扎胰腺残端,61例采用直线切割闭合器封闭胰腺残端,分析两组患者的临床相关胰瘘发生率。结果:直线切割闭合器组患者的术后临床相关胰瘘发生率为27.9%(17/97),手工缝合组为29.9%(29/61),两组间差异无统计学意义(P>0.05)。两组患者均无围手术期死亡。结论:在胰体尾手术中,使用直线切割闭合器封闭胰腺残端,胰瘘发生率与手工缝合相似。直线切割闭合器封闭胰腺残端是一种安全、有效、快捷的技术方法。
目的:研究在胰體尾切除術中手工縫閤和直線切割閉閤器封閉胰腺殘耑對術後胰瘺等併髮癥的影響。方法:2011年4月至2014年1月收治158例胰腺病變患者,行胰體尾切除術,其中97例在開腹手術中採用手工縫扎胰腺殘耑,61例採用直線切割閉閤器封閉胰腺殘耑,分析兩組患者的臨床相關胰瘺髮生率。結果:直線切割閉閤器組患者的術後臨床相關胰瘺髮生率為27.9%(17/97),手工縫閤組為29.9%(29/61),兩組間差異無統計學意義(P>0.05)。兩組患者均無圍手術期死亡。結論:在胰體尾手術中,使用直線切割閉閤器封閉胰腺殘耑,胰瘺髮生率與手工縫閤相似。直線切割閉閤器封閉胰腺殘耑是一種安全、有效、快捷的技術方法。
목적:연구재이체미절제술중수공봉합화직선절할폐합기봉폐이선잔단대술후이루등병발증적영향。방법:2011년4월지2014년1월수치158례이선병변환자,행이체미절제술,기중97례재개복수술중채용수공봉찰이선잔단,61례채용직선절할폐합기봉폐이선잔단,분석량조환자적림상상관이루발생솔。결과:직선절할폐합기조환자적술후림상상관이루발생솔위27.9%(17/97),수공봉합조위29.9%(29/61),량조간차이무통계학의의(P>0.05)。량조환자균무위수술기사망。결론:재이체미수술중,사용직선절할폐합기봉폐이선잔단,이루발생솔여수공봉합상사。직선절할폐합기봉폐이선잔단시일충안전、유효、쾌첩적기술방법。
Objective: To determine the influence of hand-sewn and stapler in distal pancreatectomy on the postoperative complication. Methods: One hundred and fifty eight patients with pancreatic lesions, who underwent distal pancreatectomy in our hospital from April 2011 to January 2014, were consecutively collected. Of the 158 patients, hand-sewn was used in 97 patients (61.4%) and stapler closure in 61 patients (38.6%) after distal pancreatectomy. Clinical related pancreatic ifstula rate was compared between two groups. Results:Clinical related pancreatic ifstula was found in 29.9%(29/97) patients of hand-sewn group and 27.9%(17/61) patients of stapler closure group with no difference (P>0.05) between two groups. No deaths occurred in two groups. Conclusion:The incidence of pancreatic ifstula by stapler or hand-sewn closure for distal pancreatectomy is similar, and stapler closure is a safe method.