Comparison of clinical effects of different methods of intestinal anastomosis in patients with pancreatic and duodenal resection
10.3760/cma.j.issn.1008-6706.2016.11.021
- VernacularTitle:不同胰肠吻合方式在胰十二指肠切除术中临床效果的比较
- Author:
Zhaoming ZHENG
;
Yangchun YUAN
;
Jiayu LIN
;
Yuqing LUO
;
Muran LI
- Publication Type:Journal Article
- Keywords:
Resection of pancreas and duodenum;
Intestinal anastomosis;
Pancreatic anastomosis time;
Clinical curative
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(11):1683-1686
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and discuss the clinical application effect of the end-to-end anastomosis of pancreatic and intestinal anastomosis,binding type of pancreatic and intestinal anastomosis,end-to side pancreatic duct anastomosis and modified pancreatic duct jejunum anastomosis.Methods Collected pancreatoduodenectomy in 95 cases,the end-to-end pancreatico duodenal sleeve type anastomosis in 23 cases,binding type pancreatic enteric anastomosis in 18 cases,end to side pancreaticojejunostomy anastomosis in 28 cases,improvement of the pancreatic duct jejunum end to side anastomosis in 26 cases,compared with four groups of patients with pancreatic enteric anastomosis time and postoperative complications.Results Anastomosis time:A group (34.0 ± 4.6) min,B group (31.0±5.8) min,C group (32.0 ±6.3) min,D group (14.0 ±4.2) min(P=0.037,P＜0.05).And the incidence rate of postoperative pancreatic fistula,bile leakage,abdominal cavity or digestive tract bleeding had no significant difference (P ＞ 0.05).Improvement of the pancreatic tube jejunum end to side coincident with a low incidence of pancreatic fistula,but different pancreatic enteric anastomosis way pancreatic fistula rate difference was not statistically significant,improvement of the pancreatic duct and jejunum mucosa end side group pancreatic enteric anastomosis anastomosis time significantly shorter in the three groups,the difference was statistically significant (P ＜ 0.05).Conclusion Improvement of pancreatic duct jejunum end to side anastomosis with short operation time,low incidence of pancreatic fistula,and the operation is simple and practical,safe.
