胰体尾切除术中胰腺残端处理方式探讨

卢 斌,陈 勇,张 钧 综述 李 刚 审校

武警医学 ›› 2016, Vol. 27 ›› Issue (5) : 521-524.

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武警医学 ›› 2016, Vol. 27 ›› Issue (5) : 521-524.
综述

胰体尾切除术中胰腺残端处理方式探讨

  • 卢 斌1,2,陈 勇2,张 钧2 综述 李 刚1 审校
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文章历史 +

摘要

胰体尾切除术(distal pancreatectomy,DP)是胰腺外科经典术式之一。Billroth于1884年成功进行了第1例胰体尾切除术。历经多年的临床实践,目前,该术式已被广泛用于治疗胰体尾部的良恶性肿瘤、外伤及内科保守治疗无效的胰腺炎等多种疾病。胰瘘(pancreatic fistula,PF)是胰体尾切除术后最常见的并发症,其发生率为10%~50%[1, 2]。术后PF可进一步诱发腹腔出血、脓肿、败血症或感染以及肠梗阻等严重并发症,是术后死亡的主要原因之一。PF还可显著增加住院天数和住院费用,增加医疗成本[3]。因此,如何避免和减少术后PF发生与胰体尾切除术中胰腺残端的不同处理方式及术后PF关系密切。笔者就胰体尾切除术中不同胰腺残端处理方式做一综述。

关键词

胰体尾切除术 / 胰瘘 / 胰腺残端处理

引用本文

导出引用
卢 斌,陈 勇,张 钧 综述 李 刚 审校. 胰体尾切除术中胰腺残端处理方式探讨[J]. 武警医学. 2016, 27(5): 521-524
中图分类号: R615   

参考文献

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