Comparing two methods of anastomosis of pancreatic duct and jejunal mucous membrane in pancreaticoduodenal resection
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摘要: 目的 探讨胰十二指肠切除术后2种胰管空肠黏膜吻合方法对胰漏发生率的影响.方法 回顾性研究本院2005年1月～2010年1月60例胰十二指肠切除术(PD)后忠者的临床资料,分析和比较传统和改进胰空肠黏膜吻合术后胰漏的发生率.结果 35例传统胰管空肠黏膜吻合组患者中有3例8.5％(3/35)出现胰漏,改进胰管黏膜吻合组无1例发生胰漏0％(0/25),2者有显著差异(P＜0.05);胰瘘相关死亡率为33.3％(1/3).结论 改进的胰管空肠黏膜吻合方法能够显著降低胰漏的发生,胰肠吻合方式是影响胰瘘的独立危险因素.
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