中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
Chinese Journal of Digestive Surgery
2015年
11期
911-915
,共5页
消化道重建%胰十二指肠切除术%胰肠吻合
消化道重建%胰十二指腸切除術%胰腸吻閤
소화도중건%이십이지장절제술%이장문합
Digestive tract reconstruction%Pancreaticoduodenectomy%Pancreaticojejunostomy
胰腺是位于人体腹膜后方的实质性器官,其解剖位置深在,手术操作复杂,难度大.而胰十二指肠切除术切除范围广,切除器官多,消化道重建步骤烦琐,是胰腺外科乃至腹部外科手术中最具挑战性的手术方式.根据术中实际情况和术者对手术方式的熟练程度,选择合理的消化道重建方式,对于保障胰十二指肠切除术质量及防治术后并发症都具有重要意义.
胰腺是位于人體腹膜後方的實質性器官,其解剖位置深在,手術操作複雜,難度大.而胰十二指腸切除術切除範圍廣,切除器官多,消化道重建步驟煩瑣,是胰腺外科迺至腹部外科手術中最具挑戰性的手術方式.根據術中實際情況和術者對手術方式的熟練程度,選擇閤理的消化道重建方式,對于保障胰十二指腸切除術質量及防治術後併髮癥都具有重要意義.
이선시위우인체복막후방적실질성기관,기해부위치심재,수술조작복잡,난도대.이이십이지장절제술절제범위엄,절제기관다,소화도중건보취번쇄,시이선외과내지복부외과수술중최구도전성적수술방식.근거술중실제정황화술자대수술방식적숙련정도,선택합리적소화도중건방식,대우보장이십이지장절제술질량급방치술후병발증도구유중요의의.
The pancreas located behind the peritoneum is a parenchymatous organ with a deep anatomical position and the surgical procedure for pancreatic diseases is complicated.And the pancreaticoduodenectomy (PD) is the most challenging operation in the field of pancreatic surgery even the abdominal surgery due to its large extent of resection and complexity of digestive tract reconstruction.Surgeons should select the most reasonable reconstruction methods on the basis of specific operative situation and surgical proficiency in order to ensure the quality of PD as well as prevent the postoperative complications.
