...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Surgical Research: Clinical and Laboratory Investigation >Pancreatic remnant reconstruction following pancreaticoduodenectomy and the pancreatic stump-closed pancreaticojejunostomy
【24h】

Pancreatic remnant reconstruction following pancreaticoduodenectomy and the pancreatic stump-closed pancreaticojejunostomy

机译：胰十二指肠切除术和胰残端封闭的胰空肠造口术后胰残体重建

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Dr. Liu and colleagues from Fudan University Shanghai Cancer Center should be commended for introducing a novel method for pancreaticojejunal reconstruction following pancreaticoduodenectomy [1]. Management of the remnant gland continues to be one of the most challenging aspects of pancreatic surgery. A number of contrasting techniques have been advanced for pancreaticojejunal reconstruction. Among these are the so called "invaginated pancreaticojejunostomy," the "duct to mucosa technique," [2] and the "binding pancreaticojejunostomy," [3] among others. When reviewing trials evaluating pancreatic fistula rates, a number of potential confounding factors must be taken into account, including surgeon experience, pancreatic gland texture, and the definition of pancreatic fistula used [4]. Over the years, clinical trials that have attempted to reduce pancreatic fistula rates have looked at such factors as the type of pancreatic enteric anastomosis used [5], the use of operatively placed closed suction drains and their management [6], the use of octreotide [7] or fibrin glue [8], the use of internal or external pancreatic duct stenting [9], among other factors. This study introduces the novel "pancreatic stump-closed pancreaticojejunostomy" for patients with soft pancreatic gland texture. The technique involves the fish mouth closure of the pancreatic stump with interrupted inverting sutures around a soft silicone stent placed within the main pancreatic duct, followed by the end to side incorporation of the pancreas to the jejunal limb in a fashion similar to that of the invaginated pancreaticojejunostomy.
机译：值得推荐的是复旦大学上海癌症中心的Liu博士及其同事介绍了一种在胰十二指肠切除术后胰空肠重建的新方法[1]。残留腺的管理仍然是胰腺手术最具挑战性的方面之一。对于胰空肠重建，已经提出了许多对比技术。其中，所谓的“胰空肠吻合术”，“粘膜技术导管” [2]和“胰空肠吻合术” [3]等等。在审查评估胰瘘发生率的试验时，必须考虑许多潜在的混杂因素，包括外科医生的经验，胰腺的质地以及所使用的胰瘘的定义[4]。多年来，试图降低胰瘘发生率的临床试验研究了诸如胰肠吻合术的类型[5]，可操作放置的闭合引流管的使用及其管理[6]，奥曲肽的使用等因素。 [7]或纤维蛋白胶[8]，使用内部或外部胰管支架置入术[9]等。这项研究介绍了新颖的“胰残端封闭胰空肠吻合术”，适用于具有软性胰腺腺体纹理的患者。该技术包括将胰残端鱼口闭合，并在位于主胰管内的软硅胶支架周围打断倒置缝线，然后将胰脏从端到侧并入空肠四肢，方法与经阴道假体相似胰空肠造口术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号