胰十二指肠切除术后胰瘘及预防_West China Medical Journal

Authors：

王振亮 ,  田伯乐

Corresponding author：

田伯乐, Email: wangzhenliang198391@126.com

Keywords：

胰十二指肠切除术; 预防胰瘘; 引流; 生长抑素; 减黄

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【摘要】　胰瘘是胰十二指肠切除术后最常见最严重的并发症之一，如何有效预防胰瘘是保证手术成功、降低患者病死率的重要环节。现就胰十二指肠切除术后胰瘘的发生及其预防作一综述。

Citation： 王振亮,田伯乐. 胰十二指肠切除术后胰瘘及预防. West China Medical Journal, 2011, 26(2): 309-312. doi: Copy

1.	Molinari E, Bassi C, Salvia R, et al. Amylase value in drains after pancreatic resection as predictive factors postoperative pancreatic fistula results of a prospective study in 137 patients[J]. Ann Surg, 2007, 246(2): 281-287.
2.	Reid-Lombardo KM, Farnell MB, Crippa S, et al. Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1507 patients: a report from the Pancreatic Anastomotic Leak Study Group[J]. J Gastrointest Surg, 2007, 11(11): 1451-1458.
3.	陆立, 郝志强, 谭振刚, 等. 胰十二指肠切除术102例临床经验总结[J]. 临床军医杂志, 2007, 35(1): 54-57.
4.	蔡秀军, 陈继达, 石景森, 等. 胰腺手术后胰瘘的治疗现状[J]. 中国现代手术学杂志, 2002, 6(4): 243-244.
5.	王志远, 刘鹏, 袁伟升, 等. 荷包套入式胰空肠双重吻合术在胰十二指肠切除术中的应用[J]. 中国普外基础与临床杂志, 2008, 15(12): 920-922.
6.	Winter JM, Cameron JL, Campbell KA, et al. Does pancreatic ductstenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? Results of a prospective randomized trial[J]. J Gastrointest Surg, 2006, 10 (9): 1280-1290.
7.	Peng SY, Wang JW, Lau WY, et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy[J]. Ann Surg, 2007, 245(5): 692-698.
8.	Lee SE, Yang SH, Jang JY, et al. Pancreatic fistula after pancreaticoduodenectomy: a comparison between the two pancreaticojejunostomy methods for approximating the pancreatic parenchyma to the jejunal seromuscular layer: Interrupted vs continuous stitches[J]. World J Gastroenterol, 2007, 13(40): 5351-5356.
9.	Ho V, Heslin M. Effect of hospital volume and experience on in-hospital mortality for pancreaticoduodenectomy[J]. Ann Surg, 2003, 237(4): 509-514.
10.	苗毅, 蒋奎荣, 徐泽宽, 等. 中段胰腺切除治疗胰腺良性或低度恶性肿瘤[J]. 中国实用外科杂志, 2008, 28(5): 346-349.
11.	吴国忠, 刘华安, 姜杰, 等. 完全性胰液外引流预防胰十二指肠切除术后胰瘘[J]. 中国现代手术学杂志, 2005, 9(3): 225-227.
12.	Van Berge Henegouwen MI, De Wit LT, Van Gulik TM, et al. Incidence, risk factors, and treatment of pancreatic leakage after pancreaticoduodenectomy: drainage versus resection of the pancreatic remnant[J]. J Am Coll Surg, 1997, 185(1): 18-24.
13.	Balzano G, Capretti G, Zerbi A, et al. 对高风险的胰腺吻合行胰管置管胰液外引流: 一组病例对照研究[J]. 张频捷, 赵红川, 译. 肝胆外科杂志, 2009, 4: 320.
14.	白云升, 邹云东, 许文顺, 等. 经T管胰液引流预防胰十二指肠切除术后胰瘘[J]. 实用诊断与治疗杂志, 2008, 22(5): 398-399.
15.	吴阶平, 裘法祖, 黄家驷. 外科学[M]. 6版. 北京: 人民卫生出版社, 2000: 1313.
16.	陈曹臻, 陈春雷, 曾瑜, 等. 胰十二指肠切除术中不同胰胆管引流方法的疗效比较[J]. 中国实用医药, 2009, 4(20): 49-50.
17.	冼沛中, 康旭, 王三明, 等. 胰十二指肠切除21例手术改进探究[J]. 海南医学, 2004, 15(8): 77-77.
18.	Poon RTP, Fan ST, Lo CM, et al. External drainage of pancreatic duct with astent to reduce leakage rate of pancreaticojejunostomy after pancreaticoduodenectomy: ap rospective randomized trial[J]. Ann Surg, 2007, 246(3): 425-433.
19.	刘盈洲, 李加起, 孙洪强, 等. 生长抑素在胰十二指肠切除术后胰漏中的治疗作用[J]. 中国医药导刊, 2009, 11(2): 260-262.
20.	周先亭, 孙立臣, 曹宗献, 等. 生长抑素预防胰十二指肠切除术后胰瘘的对比研究[J]. 肝胆外科杂志, 2001, 9(6): 436-437.
21.	王欣, 莫一我, 金焰, 等. 生长抑素及生长激素预防胰十二指肠切除术后并发症发生的临床应用[J]. 中国普外基础与临床杂志, 2004, 11(6): 529-530.
22.	Hesse UJ, Decker CD, Houtmeyers P, et al. Prospectively randomized trial using perioperative low-dose octreotide to prevent organ-related and general complications after pancreatic surgery and pancreatico-jejunostomy[J]. World J Surg, 2005, 29(10): 1325-1328.
23.	曾其强, 周蒙滔, 韩少良, 等. 生长抑素预防胰十二指肠切除术后胰瘘及其他并发症的meta分析[J]. 中华普通外科杂志, 2007, 22(9): 694-697.
24.	Sewnath ME, Karsten TM, Prins MH, et al. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice[J]. Ann Surg, 2002, 236(1): 17-27.
25.	Li ZJ, Zhang ZD, Hu WM, et al. Pancreaticoduodenectomy with preoperative obstructive jaundice: drainage or not[J]. Pancreas, 2009, 38(4): 379-386.
26.	Lermite E, Pessaux P, Teyssedou C, et al. Effect of preoperative endoscopic biliary drainage on infectious morbidity after pancreatoduodenectomy: a case-control study[J]. Am J Surg, 2008, 195(4): 442-446.
27.	张懿, 张肇, 田伯乐, 等. 胰十二指肠切除术后早期并发症的危险因素[J]. 四川大学学报(医学版), 2009, 40(5): 960-961.

1. 　Molinari E, Bassi C, Salvia R, et al. Amylase value in drains after pancreatic resection as predictive factors postoperative pancreatic fistula results of a prospective study in 137 patients[J]. Ann Surg, 2007, 246(2): 281-287.
2. 　Reid-Lombardo KM, Farnell MB, Crippa S, et al. Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1507 patients: a report from the Pancreatic Anastomotic Leak Study Group[J]. J Gastrointest Surg, 2007, 11(11): 1451-1458.
3. 　陆立, 郝志强, 谭振刚, 等. 胰十二指肠切除术102例临床经验总结[J]. 临床军医杂志, 2007, 35(1): 54-57.
4. 　蔡秀军, 陈继达, 石景森, 等. 胰腺手术后胰瘘的治疗现状[J]. 中国现代手术学杂志, 2002, 6(4): 243-244.
5. 　王志远, 刘鹏, 袁伟升, 等. 荷包套入式胰空肠双重吻合术在胰十二指肠切除术中的应用[J]. 中国普外基础与临床杂志, 2008, 15(12): 920-922.
6. 　Winter JM, Cameron JL, Campbell KA, et al. Does pancreatic ductstenting decrease the rate of pancreatic fistula following pancreaticoduodenectomy? Results of a prospective randomized trial[J]. J Gastrointest Surg, 2006, 10 (9): 1280-1290.
7. 　Peng SY, Wang JW, Lau WY, et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy[J]. Ann Surg, 2007, 245(5): 692-698.
8. 　Lee SE, Yang SH, Jang JY, et al. Pancreatic fistula after pancreaticoduodenectomy: a comparison between the two pancreaticojejunostomy methods for approximating the pancreatic parenchyma to the jejunal seromuscular layer: Interrupted vs continuous stitches[J]. World J Gastroenterol, 2007, 13(40): 5351-5356.
9. 　Ho V, Heslin M. Effect of hospital volume and experience on in-hospital mortality for pancreaticoduodenectomy[J]. Ann Surg, 2003, 237(4): 509-514.
10. 　苗毅, 蒋奎荣, 徐泽宽, 等. 中段胰腺切除治疗胰腺良性或低度恶性肿瘤[J]. 中国实用外科杂志, 2008, 28(5): 346-349.
11. 　吴国忠, 刘华安, 姜杰, 等. 完全性胰液外引流预防胰十二指肠切除术后胰瘘[J]. 中国现代手术学杂志, 2005, 9(3): 225-227.
12. 　Van Berge Henegouwen MI, De Wit LT, Van Gulik TM, et al. Incidence, risk factors, and treatment of pancreatic leakage after pancreaticoduodenectomy: drainage versus resection of the pancreatic remnant[J]. J Am Coll Surg, 1997, 185(1): 18-24.
13. 　Balzano G, Capretti G, Zerbi A, et al. 对高风险的胰腺吻合行胰管置管胰液外引流: 一组病例对照研究[J]. 张频捷, 赵红川, 译. 肝胆外科杂志, 2009, 4: 320.
14. 　白云升, 邹云东, 许文顺, 等. 经T管胰液引流预防胰十二指肠切除术后胰瘘[J]. 实用诊断与治疗杂志, 2008, 22(5): 398-399.
15. 　吴阶平, 裘法祖, 黄家驷. 外科学[M]. 6版. 北京: 人民卫生出版社, 2000: 1313.
16. 　陈曹臻, 陈春雷, 曾瑜, 等. 胰十二指肠切除术中不同胰胆管引流方法的疗效比较[J]. 中国实用医药, 2009, 4(20): 49-50.
17. 　冼沛中, 康旭, 王三明, 等. 胰十二指肠切除21例手术改进探究[J]. 海南医学, 2004, 15(8): 77-77.
18. 　Poon RTP, Fan ST, Lo CM, et al. External drainage of pancreatic duct with astent to reduce leakage rate of pancreaticojejunostomy after pancreaticoduodenectomy: ap rospective randomized trial[J]. Ann Surg, 2007, 246(3): 425-433.
19. 　刘盈洲, 李加起, 孙洪强, 等. 生长抑素在胰十二指肠切除术后胰漏中的治疗作用[J]. 中国医药导刊, 2009, 11(2): 260-262.
20. 　周先亭, 孙立臣, 曹宗献, 等. 生长抑素预防胰十二指肠切除术后胰瘘的对比研究[J]. 肝胆外科杂志, 2001, 9(6): 436-437.
21. 　王欣, 莫一我, 金焰, 等. 生长抑素及生长激素预防胰十二指肠切除术后并发症发生的临床应用[J]. 中国普外基础与临床杂志, 2004, 11(6): 529-530.
22. 　Hesse UJ, Decker CD, Houtmeyers P, et al. Prospectively randomized trial using perioperative low-dose octreotide to prevent organ-related and general complications after pancreatic surgery and pancreatico-jejunostomy[J]. World J Surg, 2005, 29(10): 1325-1328.
23. 　曾其强, 周蒙滔, 韩少良, 等. 生长抑素预防胰十二指肠切除术后胰瘘及其他并发症的meta分析[J]. 中华普通外科杂志, 2007, 22(9): 694-697.
24. 　Sewnath ME, Karsten TM, Prins MH, et al. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice[J]. Ann Surg, 2002, 236(1): 17-27.
25. 　Li ZJ, Zhang ZD, Hu WM, et al. Pancreaticoduodenectomy with preoperative obstructive jaundice: drainage or not[J]. Pancreas, 2009, 38(4): 379-386.
26. 　Lermite E, Pessaux P, Teyssedou C, et al. Effect of preoperative endoscopic biliary drainage on infectious morbidity after pancreatoduodenectomy: a case-control study[J]. Am J Surg, 2008, 195(4): 442-446.
27. 　张懿, 张肇, 田伯乐, 等. 胰十二指肠切除术后早期并发症的危险因素[J]. 四川大学学报(医学版), 2009, 40(5): 960-961.

West China Medical Journal

胰十二指肠切除术后胰瘘及预防

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