中华普外科手术学杂志（电子版）
中華普外科手術學雜誌（電子版）
중화보외과수술학잡지（전자판）
CHINESE JOURNAL OF OPERATIVE PROCEDURES OF GENERAL SURGERY(ELECTRONIC VERSION)
2015年
4期
246-249
,共4页
胰腺肿瘤%胰十二指肠切除术%消化道重建%胰腺瘘
胰腺腫瘤%胰十二指腸切除術%消化道重建%胰腺瘺
이선종류%이십이지장절제술%소화도중건%이선루
Pancreatic neoplasms%Pancreaticoduodenectomy%Digestive tract reconstruction%Pancreatic fistula
消化道重建是胰十二指肠切除术的重要组成步骤，其中胰腺与消化道的吻合又最为关键，它与术后胰瘘等并发症密切相关。胰腺与消化道吻合的主要方式为胰肠吻合和胰胃吻合。临床上胰肠吻合的方法很多，主要有经典的套入式胰肠吻合、导管对黏膜胰肠吻合和捆绑式胰肠吻合。但是没有哪一种术式明显优于其他，临床医生应根据自己的熟练程度和实际情况合理选择。
消化道重建是胰十二指腸切除術的重要組成步驟，其中胰腺與消化道的吻閤又最為關鍵，它與術後胰瘺等併髮癥密切相關。胰腺與消化道吻閤的主要方式為胰腸吻閤和胰胃吻閤。臨床上胰腸吻閤的方法很多，主要有經典的套入式胰腸吻閤、導管對黏膜胰腸吻閤和捆綁式胰腸吻閤。但是沒有哪一種術式明顯優于其他，臨床醫生應根據自己的熟練程度和實際情況閤理選擇。
소화도중건시이십이지장절제술적중요조성보취，기중이선여소화도적문합우최위관건，타여술후이루등병발증밀절상관。이선여소화도문합적주요방식위이장문합화이위문합。림상상이장문합적방법흔다，주요유경전적투입식이장문합、도관대점막이장문합화곤방식이장문합。단시몰유나일충술식명현우우기타，림상의생응근거자기적숙련정도화실제정황합리선택。
Digestive tract reconstruction is the main procedure of pancreaticoduodenectomy . Anastomosis of the pancreas is the key among all of reconstruction steps , which remains closely related to postoperative complications such as postoperative pancreatic fistula . Pancreaticojejunostomy and pancreaticogastrostomy are the two most frequently used techniques of reconstruction .There are many types of pancreaticojejunostomy , including the classical invagination pancreaticojejunostomy , duct-to-mucosa pancreaticojejunostomy and binding pancreaticojejunostomy .None of reconstruction techniques is considered to be superior to others .The choice of pancreas anastomotic technique should be based on the pancreatic surgeon's experience as well as the actual situation .
