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目的:介绍捆绑式胰肠吻合术在胰十二指肠切除中预防胰瘘的手术方法及技巧。方法:回顾分析行捆绑式胰肠吻合术的21例临床资料。结果:全组无胰瘘发生,无消化道大出血;1例因肝肾综合征转内科治疗痊愈出院,1例因二重感染病死。结论:胰腺断端的合理处理及胰管内置支撑管行胰肠捆绑式吻合术是安全可靠的方法。
OBJECTIVE: To introduce the surgical methods and techniques for the prevention of pancreatic fistula in the pancreaticoduodenectomy by using the bundle pancreaticojejunostomy. Methods: A retrospective analysis of 21 cases of bundle pancreaticojejunostomy clinical data. Results: The whole group had no pancreatic fistula and no hemorrhage of the digestive tract. One patient was discharged from the hospital due to hepatorenal syndrome and one patient died of double infection. Conclusion: The proper treatment of the pancreatic segment and the pancreatic duct with pancreatic duct bundled anastomosis is a safe and reliable method.