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胰管外引流术在腹腔镜胰十二指肠切除中的临床应用

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目的 探讨胰管外引流术在腹腔镜胰十二指肠切除中应用的可行性与安全性.方法 2021年12月~2022年12月我院施行胰管外引流术的腹腔镜胰十二指肠切除病人13例.观察手术过程及术后并发症发生情况,分析胰管外引流术在改善腹腔镜胰十二指肠切除病人术后各种并发症的临床效果.结果 13例病人均成功施行腔镜手术并顺利出院,无B级及以上胰瘘和腹腔出血,术后生化漏发生率为15.38%(2/13),术后平均住院时间为(14±8.5)天,无术后30天内再手术和死亡.结论 胰管外引流术能改善腹腔镜胰十二指肠切除病人胰瘘、出血等术后并发症的发生,提高围手术期安全性,尤其适用于早期开展腹腔镜胰十二指肠切除术的低体量中心.
Clinical annlication experience of external drainage of nancreatic duct in lanarosconic pancreaticoduodenectomy
Objective To investigate the clinical feasibility and safety of the method of external pancreatic duct drainage in laparoscopic pancreaticoduodenectomy(LPD).Methods The clinical data of 13 patients with LPD who underwent external pancreatic duct drainage at the Jingzhou Hospital Affiliated to Yangtze University from December 2021 to December 2022 were retrospectively analyzed.The surgical process and postoperative complications of the patients participating in this study were observed,and the clinical effect of external pancreatic duct drainage on improving various postoperative complications in patients with LPD were analyzed.Results All the 13 patients underwent laparoscopic surgery successfully and discharged from the hospital smoothly.The incidence of postoperative biochemical fistula was 15.38%(2/13).No complications of grade B and above pancreatic fistula and intraperitoneal hemorrhage occurred.The average postoperative hospital stay was(14±8.5)d,reoperation and mortality within 30 days after operation were 0.Conclusion External pancreatic duct drainage can effectively improve the occurrence of postoperative complications such as pancreatic fistula and hemorrhage in patients with LPD,and improve the safety of perioperative surgery,and is especially suitable for the early stage of LPD low-volume operation center.

external drainage of pancreatic ductlaparoscopypancreaticoduodenectomypancreatic fistula

梁宇航、龚仕成、李世嘉、左骁、霍成龙、邓岩、张学文、王帅

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434020 长江大学附属荆州医院肝胆外科

胰管外引流 腹腔镜检查 胰十二指肠切除术 胰瘘

湖北省自然科学基金

2022CFB346

2024

临床外科杂志
中华医学会湖北分会

临床外科杂志

CSTPCD
影响因子:0.716
ISSN:1005-6483
年,卷(期):2024.32(4)
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