Non-penetrating vascular and tubular tissue closure system in radical resection of adenocarcinoma of pancreatic head combined with major venous resection and reconstruction
10.3760/cma.j.issn.1007-631X.2019.12.004
- VernacularTitle:非穿透性血管及管状组织闭合系统在联合静脉切除的胰头癌根治术中的应用
- Author:
Hui ZHANG
1
;
Shaocheng LYU
;
Bing PAN
;
Xingmao ZHANG
;
Xin ZHAO
;
Ren LANG
;
Hua FAN
;
Qiang HE
Author Information
1. 首都医科大学附属北京朝阳医院肝胆外科
- Keywords:
Pancreaticoduodenectomy;
Vascular surgical procedures;
Complications
- From:
Chinese Journal of General Surgery
2019;34(12):1031-1034
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the application and effect of non-penetrating vascular and tubular tissue closure system in radical resection of adenocarcinoma of pancreatic head combined with venous resection and reconstruction.Methods A retrospective analysis was made on the clinical data of 78 patients with pancreatic head cancer who underwent radical resection of venous vessels from Feb 2014 to Feb 2018.According to the intraoperative venous resection and anastomosis,the patients were divided into vascular clip group (41 cases) and traditional suture group (37 cases).The preoperative data,intraoperative and postoperative recovery of the two groups were analyzed and compared.Results There were no perioperative deaths and no significant differences in perioperative complications between the two groups (P ＞ 0.05).The anastomotic time of the clip group was (18.6 ± 3.3) min,which was significantly shorter than that of the traditional suture group (39.7 ± 8.5) min,(P ＜ 0.05).There were no significant differences in operation time,intraoperative bleeding volume,ICU time,hospital stay and anastomotic stenosis between the two groups(P＞ 0.05).Conclusion It is safe and feasible to use vascular clip in venous vascular reconstruction in radical resection of carcinoma of the head of the pancreas combined with venous vascular resection.
