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1992年4月至1998年10月,在胰十二指肠切除术中,作者在胰管内放置一根长约33cm的细硅胶管,远端送入空肠拌内,引流胰液同时引流胆汁,术后无一例发生胰空肠吻合口漏,收到了满意的疗效.1 材料和方法1.l一般资料 本组共54例,男33例,女21例,年龄55.3岁(32～75岁).临床诊断:壶腹癌18例;胆管癌13例,其中4例为肝外胆管全程癌,4例中2例合并肝左叶转移癌,其余9例为胆管下端癌;胰头癌16例;胰头部囊腺瘤2例;十二指肠癌5例,其中1例为巨大十二指肠癌,肿块达11cm.施保留幽门胰十二指肠切除术(PPPD)35例,施传统胰十二指肠切除术(PD)19例:
From April 1992 to October 1998, in pancreatoduodenectomy, the author placed a thin silicone tube about 33 cm in length in the pancreatic duct and sent it to the jejunum distally to drain the pancreatic juice while draining the bile. There was no case of pancreaticojejunostomy leak and satisfactory results were obtained.1 Materials and Methods 1.l General Information There were 54 cases in this group, 33 males and 21 females, aged 55.3 years (32-75 years old). Diagnosis: 18 cases of ampullary carcinoma; 13 cases of cholangiocarcinoma, including 4 cases of extrahepatic bile duct cancer, 4 cases of 2 cases with left hepatic metastatic carcinoma, and 9 cases of lower bile duct carcinoma; 16 cases of pancreatic cancer; 2 cases of head cystadenoma; 5 cases of duodenal cancer, 1 case of large duodenal cancer, mass 11cm. 35 cases of pylorus pancreatoduodenectomy (PPPD), traditional pancreatitis Duodenal resection (PD) 19 cases: