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首页> 外国专利> METHOD FOR LAPAROSCOPIC PANCREATIC JEJUNOSTOMY IN PANCREATICODUODENAL RESECTION

METHOD FOR LAPAROSCOPIC PANCREATIC JEJUNOSTOMY IN PANCREATICODUODENAL RESECTION

机译：胰十二指肠切除术的腹腔镜胰空肠吻合术

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FIELD: medicine.;SUBSTANCE: lymph node dissection of a hepatoduodenal ligament and an aortic caval space is performed. A distal end of pancreas is mobilised through 1.5-2.5cm from a resection end. An end-to-side pancreatic jejunoanastomosis with Roux jejuneal loop is created. A pancreatic stump is invaginated into an open jejuneal lumen. A posterior lip of the anastomosis is formed. The needle is first pricked in to incise a jejuneal wall along an upper edge of the pancreas at 1.2-1.5cm from the resection end top down along an anterior surface of the pancreas. The needle is pricked out on a posterior surface of the pancreatic stump. The first suture needle is pricked out on an anti-mesenteric edge of the jejuneal loop bottom up along the anti-mesenteric edge of the jejuneal loop in parallel with the intestinal axis. The jejuneal lumen is exposed. An incision length is maintained to be equal to a pancreatic diameter within the resection end. The second suture is formed at 1-1.5 cm from a resection line along a lower edge of the pancreas top to bottom. The needle is pricked out at 0.3-0.5cm from the resection end of the pancreas. Thereafter, 4-5 interrupted sutures are applied at 0.4-0.6cm on the posterior lip of the anastomosis. Then, 2-3 single interrupted sutures at 0.5cm are applied on the anterior lip of the anastomosis.;EFFECT: reducing intraoperative injuries and probability of the pancreatic fistula by performing laparoscopic pancreatic jejunostomy and forming the reliable anastomosis.;2 ex
机译：领域：医学;研究对象：肝十二指肠韧带的淋巴结清扫术和主动脉间隙。胰腺的远端从切除端移动1.5-2.5cm。创建具有Roux空肠环的端到侧胰空肠吻合术。胰腺残端被插入空肠空肠腔。形成吻合口的后唇。首先刺入针，以沿着距胰腺切除面顶部至切除端1.2-1.5cm处的胰上缘切开空肠壁。将针头刺入胰残端的后表面。在与肠轴平行的方向上，沿着空肠环的反肠系膜边缘从空肠环的反肠系膜边缘底部向上刺出第一根缝合线针。空肠管腔暴露。切口长度保持等于切除端内的胰腺直径。第二缝合线沿着胰腺的上下边缘从切除线形成1-1.5cm。从胰腺的切除端将针刺出0.3-0.5cm。此后，在吻合口的后唇上以0.4-0.6cm的距离缝合4-5条间断的缝合线。然后，在吻合口的前唇上用2-3条0.5cm的单缝线缝合;效果：通过腹腔镜胰空肠造口术并形成可靠的吻合口，减少术中损伤和胰瘘的可能性。; 2 ex

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