[1]张新国,朱晓丹,贾元利.经皮下空肠盲襻胆道镜治疗胰十二指肠切除术后严重并发症10例报告[J].中国微创外科杂志,2005,05(1):63-64.
　ZhangXinguo,Zhu Xiaodan,Jia Yuanli.Treatment of severe complications after pancreatoduodenectomy under fiber choledochoscope through a subcutaneous jejunal blind loop: A report of 10 cases[J].Chinese Journal of Minimally Invasive Surgery,2005,05(1):63-64.
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经皮下空肠盲襻胆道镜治疗胰十二指肠切除术后严重并发症10例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年1期
页码:
63-64
栏目:
出版日期:
2005-01-30

文章信息/Info

Title:
Treatment of severe complications after pancreatoduodenectomy under fiber choledochoscope through a subcutaneous jejunal blind loop: A report of 10 cases
作者:
张新国; 朱晓丹; 贾元利
武警总医院普外科,北京,100039
Author(s):
ZhangXinguo;  Zhu Xiaodan;  Jia Yuanli
Department of General Surgery, Chinese People’s Armed Police General Hospital, Beijing 100039, China
关键词:
胆道镜;  胰十二指肠切除术;  并发症
Keywords:
Choledochoscope; 　Pancreatoduodenectomy; 　Complication
分类号:
R656
文献标志码:
A
摘要:
目的探讨胆道镜经皮下空肠盲襻诊断和治疗胰十二指肠切除术后严重并发症的价值. 方法从皮下空肠盲插入胆道镜,直视下对胰肠、胆肠吻合口漏涂抹生物胶或对吻合口出血喷涂止血药物. 结果 5例肠漏,3例胆漏和2例吻合出血均治愈.10例随访1～3年,未发现肿瘤复发,1例术后1年胆肠吻合口狭窄,胆道镜扩张吻合口狭窄治愈,余9例胰液、胆汁排泌通畅. 结论胆道镜经皮下空肠盲襻能对胰十二指肠切除术后并发症进行诊治,对胰肠、胆肠吻合口进行远期直观随访.
Abstract:
Objective　To discuss the value of choledochoscopy via subcutaneous jejunal blind loop in the diagnosis and treatment of severe complications after pancreatoduodenectomy.　Methods　A fiber choledochoscope (FCC) was introduced through a subcutaneous jejunal blind loop. Under direct vision, the pancreatojejunal or choledochojejunal anastomotic leakageswere coatedwith biological glue, orthe anastomotic bleedings were stopped with hemostatic drugs.　Results　Five cases of intestinal leakage, 3 cases of biliary leakage and 2 cases ofanastomotic bleeding were all cured. Follow-up for 1~3 years in the 10 cases found no recurrence of tumors. Choledochojejunal anastomotic stricture occurred in 1 case 1 year after the surgery and was cured by dilatation under fiber choledochoscope. In the remaining 9 cases, the pancreatic juice and bile fluid were excreted normally.　Conclusions　Application of FCC through the subcutaneous jejunal blind loop can be employed in the diagnosis and treatment of complications after pancreatoduodenectomy and in the long-term follow-up of pancreatojejunal or choledochojejunal anastomotic stoma under direct vision.

参考文献/References:

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更新日期/Last Update: 2014-03-11