Application of fast and secure multipath exposure of portal vein and superior mesenteric vein in pancreaticoduo-denectomy
10.11659/jjssx.1672-5042.201405033
- VernacularTitle:多径路快速安全暴露门静脉和肠系膜上静脉在胰十二指肠切除术中的应用
- Author:
Chenglin YANG
- Publication Type:Journal Article
- Keywords:
PV;
SMV;
pancreatoduodenectomy;
pancreatic head cancer;
fast secure multipath exposure
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(5):539-541
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effect of fast secure multipath exposure of portal vein ( PV) and superior mesenter-ic vein ( SMV) in pancreaticoduodenectomy. Methods Retrospective analyzed the clinical data of 80 cases of pancreatic head cancer pa-tients who underwent pancreatoduodenectomy in our hospital from October 2005 to October 2013. According to the different PV/SMV expo-sure methods, they were divided into 2 groups with 40 cases in each group. The observation group used fast secure multipath exposure meth-od while the control group were given traditional method of exposure, and curative effect of the 2 groups were compared. Results In the ob-servation group, the success rate of operation was 90. 0%(36/40) which is significantly higher than 72. 5% (29/40) in the control group;in the observation group , operation time was ( 3 6 0 . 6 ± 5 8 . 7 ) min and intraoperative bleeding was ( 6 0 0 . 4 ± 3 6 . 8 ) mL which were significantly lower than that(414. 2 ± 81. 3)min and (788. 8 ± 57. 9) mL in the control group;3 year mortality rate in observation group was 65.0%(26/40) which was significantly lower than 86. 1% (31/36) in control group, these differences were statistically significant (P<0. 05). Conclusion Fast and secure multipath PV/SMV applied in pancreatoduodenectomy could improve the operation success rate, shorten the operation time, reduce the intraoperatve blood soss and postoperative adverse reactions, and improve the long-term survival rate.
