Experience on the Prevention of Pancreatic Fistula after 46 Pancreaticoduodenectomy_West China Medical Journal

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Liver and Vascular Surgery, West China Hospital, Sichuan University,Chengdu 610041,China;

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Keywords：

胰十二指肠切除术; 胰瘘; 并发症

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目的:探讨胰十二指肠切除术后胰瘘的原因及其预防。方法: 2003年1月至今,对46例行胰十二指肠切除术中采取胰管空肠吻合方式的病例资料进行回顾分析。结果: 46例患者行胰十二指肠切除术后无一例发生胰瘘。结论: 胰十二指肠切除术采取胰管空肠吻合方式可有效预防胰瘘的发生。

Citation： LV Tao,ZENG Guojun,YANG Jiayin,et al.. Experience on the Prevention of Pancreatic Fistula after 46 Pancreaticoduodenectomy. West China Medical Journal, 2009, 24(9): 2389-2390. doi: Copy

1.	SHRIKHANDE S V, QURESHI S S, RAJNEESH N, 〖WTBX〗et al.〖WTBZ〗Pancreatic anastomoses after pancreatic coduodenectomy: do we need further studies[J].World J Surg,2005,29(12):1642-1649.
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4.	TSUJIM, KIMURA H, KONISHI K, et al.Management of continuous anastomosis of pancreatic duct and jejunalmucosa after pancreaticoduodenectomy: historical study of 300 patients[J].Surgery, 1998,123:617-621.
5.	YEO C J, CAMERON J L, MAHER M M, et al. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduoden ectomy[J].Ann Surg, 1995,222(4):580-592.

1. SHRIKHANDE S V, QURESHI S S, RAJNEESH N, 〖WTBX〗et al.〖WTBZ〗Pancreatic anastomoses after pancreatic coduodenectomy: do we need further studies[J].World J Surg,2005,29(12):1642-1649.
2. HOSOTANI R, DOI R, IMAMURA M. Ducttomucosa pancreaticojejunostomy reduces the risk of pancreatic leakage after pancreaticoduodenectomy[J].World J Surg,2002,26:99-104.
3. SUZUKI Y, FUJINO Y, TANIOKA Y, et al. Selection of pancreaticojejunostomy techniques according to pancreatic texture and duct size[J]. Arch Surg,2002,137:1044-1047.
4. TSUJIM, KIMURA H, KONISHI K, et al.Management of continuous anastomosis of pancreatic duct and jejunalmucosa after pancreaticoduodenectomy: historical study of 300 patients[J].Surgery, 1998,123:617-621.
5. YEO C J, CAMERON J L, MAHER M M, et al. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduoden ectomy[J].Ann Surg, 1995,222(4):580-592.

West China Medical Journal

Experience on the Prevention of Pancreatic Fistula after 46 Pancreaticoduodenectomy

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