目的 研究胰腺-胃吻合术在胰十二指肠切除术消化道重建中的合理性。
方法 对2002年3月至2004年10月期间实施胰十二指肠切除和胰腺-胃吻合术重建消化道的24例壶腹周围癌患者的临床资料进行回顾性分析。
结果 所有患者均顺利完成胰腺-胃吻合手术，胰瘘的发生率为8.3%（2/24），通过保守治疗均痊愈。
结论 胰腺-胃吻合术是胰十二指肠切除术后一种安全的消化道重建方法。
Citation：
刘海,马勇,任祖海. Application of Pancreaticogastrostomy for Pancreatoduodenectomy (Report of 24 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(2): 210-211. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 2. Ishikawa O, Ohigashi H, Eguchi H, et al. Long-term follow-up of glucose tolerance function after pancreaticoduodenectomy: comparison between pancreaticogastrostomy and pancreaticojejunostomy [Ｊ]. Surgery， 2004; 136(3）∶617.
- 3. Munoz-Bongrand N, Sauvanet A, Denys A, et al. Conservative management of pancreatic fistula after pancreaticoduodenectomy with pancreaticogastrostomy [Ｊ]. J Am Coll Surg， 2004; 199(2)∶198.
- 4. Sugiyama M, Abe N, Ueki H, et al. Pancreaticogastrostomy for reconstruction after medial pancreatectomy [Ｊ]. J Am Coll Surg， 2004; 199(1)∶163.
- 5. Shyr YM, Su CH, Wu CW, et al. Gastric pH and amylase and safety for non-stented pancreaticogastrostomy [Ｊ]. Hepatogastroenterology， 2002; 49(48)∶1747.
- 6. Aranha GV, Hodul P, Golts E, et al. A comparison of pancreaticogastrostomy and pancreaticojejunostomy following pancreaticoduodenectomy [Ｊ]. J Gastrointest Surg， 2003; 7(5)∶672.
- 7. Oussoultzoglou E, Bachellier P, Bigourdan JM, et al. Pancreaticogastrostomy decreased relaparotomy caused by pancreatic fistula after pancreaticoduodenectomy compared with pancreaticojejunostomy [Ｊ]. Arch Surg， 2004; 139(3)∶327.
