1.苏州大学附属第三医院肝胆胰外科,江苏 常州 213003
2.上海交通大学医学院附属瑞金医院普外科,上海 200025
陈卫波,博士,副主任医师,主要从事肝胆胰腺疾病的微创手术研究,Email:cwb_med@163.com
赵国栋,副主任医师,副教授,主要从事肝胆胰腺疾病的微创手术研究,Email:zhaogd301@163.com
纸质出版:2025-02-22
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陈卫波,赵国栋.胰肠吻合术浅析及平行式胰肠吻合术新探[J].腹部外科,2025,38(01):12-14.
Chen Weibo,Zhao Guodong.A brief analysis of pancreatojejunostomy and a new exploration of parallel pancreatojejunostomy[J].J Abdominal Surg,2025,38(01):12-14.
陈卫波,赵国栋.胰肠吻合术浅析及平行式胰肠吻合术新探[J].腹部外科,2025,38(01):12-14. DOI: 10.3969/j.issn.1003-5591.2025.01.003.
Chen Weibo,Zhao Guodong.A brief analysis of pancreatojejunostomy and a new exploration of parallel pancreatojejunostomy[J].J Abdominal Surg,2025,38(01):12-14. DOI: 10.3969/j.issn.1003-5591.2025.01.003.
胰肠吻合是最常见的胰腺消化道重建方式,也是胰十二指肠切除术中最关键的一步,很大程度决定了术后胰瘘及其他相关并发症的发生情况。随着胰腺外科的迅猛发展,胰肠吻合术的方法经历了不同改良。此文对近年来常见的胰肠吻合术的特点及发展趋势进行了评述,并提出了一种改良的胰肠吻合术式,即平行式胰肠吻合术,强调了操作要点及优势,以期为同道开展胰肠吻合术提供一定的借鉴。
Pancreaticojejunostomy is the preferred method of pancreatic digestive tract reconstruction,serving as the most critical step in pancreaticoduodenectomy.It largely determines the occurrence of postoperative pancreatic fistula and other related complications.With the rapid development of pancreatic surgery,the method of pancreaticojejunostomy has undergone different improvements.This article reviewed the characteristics and development trends of common pancreaticojejunostomy in recent years, and proposed a modified pancreaticojejunostomy, namely parallel pancreaticojejunostomy,emphasizing the key points and advantages of the operation, and providing a certain reference for colleagues to perform pancreaticojejunostomy.
Han IW , Cho K , Ryu Y , et al . Risk prediction platform for pancreatic fistula after pancreatoduodenectomy using artificial intelligence [J]. World J Gastroenterol , 2020 , 26 ( 30 ): 4453 - 4464 . DOI: 10.3748/wjg.v26.i30.4453 http://dx.doi.org/10.3748/wjg.v26.i30.4453 .
Halloran CM , Neoptolemos JP , Jackson R , et al . A multicenter,randomized,double-blinded,clinical trial comparing Cattell-warren and blumgart anastomoses following partial pancreatoduodenectomy:PANasta trial [J]. Ann Surg Open , 2022 , 3 ( 3 ): e198 . DOI: 10.1097/as9.0000000000000198 http://dx.doi.org/10.1097/as9.0000000000000198 .
Liu WS , Li Z , Zhou CJ , et al . A ligamentum teres hepatis and falciform ligament https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73890833&type= 2.822 2.11666870 https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73890820&type= https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73890821&type= 0.42333984 belt and braces https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73890822&type= 2.822 2.11666870 https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73890834&type= https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73890836&type= 0.42333984 approach in laparoscopic pancreaticoduodenectomy using a modified Blumgart anastomosis to minimize severe pancreatic fistula and post-operative complications [J]. Surg Oncol , 2024 , 57 : 102152 . DOI: 10.1016/j.suronc.2024.102152 http://dx.doi.org/10.1016/j.suronc.2024.102152 .
Li Z , Liu W , Yu X , et al . Modified laparoscopic Blumgart pancreaticojejunostomy using pedicled teres ligament to reinforce the posterior wall and isolate the stump of the gastroduodenal artery [J]. Asian J Surg , 2024 , 47 ( 1 ): 762 - 764 . DOI: 10.1016/j.asjsur.2023.10.026 http://dx.doi.org/10.1016/j.asjsur.2023.10.026 .
陈卫波 , 朱玉文 , 杨豪 , 等 . 一种改良胰肠吻合方式安全性及其在腹腔镜和开腹胰十二指肠切除术中应用比较 [J/OL]. 中华肝脏外科手术学电子杂志 , 2024 , 13 ( 4 ): 498 - 503 . DOI: 10.3877/cma.j.issn.2095-3232.2024.04.010 http://dx.doi.org/10.3877/cma.j.issn.2095-3232.2024.04.010 .
Liu WS , Ji SR , Xu WY , et al . Completely 3-dimensional laparoscopic pancreaticoduodenectomy with modified Blumgart pancreaticojejunostomy:an analysis of 100 consecutive cases [J]. Langenbeck's Arch Surg , 2023 , 408 ( 1 ): 126 . DOI: 10.1007/s00423-023-02763-1 http://dx.doi.org/10.1007/s00423-023-02763-1 .
Cai YQ , Luo H , Li YB , et al . A novel technique of pancreaticojejunostomy for laparoscopic pancreaticoduodenectomy [J]. Surg Endosc , 2019 , 33 ( 5 ): 1572 - 1577 . DOI: 10.1007/s00464-018-6446-z http://dx.doi.org/10.1007/s00464-018-6446-z .
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