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中华普通外科学文献(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 144 -147. doi: 10.3877/cma.j.issn.1674-0793.2023.02.014

综述

胰十二指肠切除术前不同减黄方式对术后并发症的影响
韩青雷1, 宋铭杰1, 李佳隆1, 邵英梅1,()   
  1. 1. 830054 乌鲁木齐,新疆医科大学第一附属医院消化血管外科中心肝胆包虫病科
  • 收稿日期:2022-08-20 出版日期:2023-04-01
  • 通信作者: 邵英梅
  • 基金资助:
    省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2020-B); 新疆维吾尔自治区高校科研计划项目(XJEDU2021I016)

Effect of different biliary drainage before pancreaticoduodenectomy on postoperative complications

Qinglei Han1, Mingjie Song1, Jialong Li1, Yingmei Shao1,()   

  1. 1. Department of Hepatobiliary Hydatid Diseases, Digestive and Vascular Surgery Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2022-08-20 Published:2023-04-01
  • Corresponding author: Yingmei Shao
引用本文:

韩青雷, 宋铭杰, 李佳隆, 邵英梅. 胰十二指肠切除术前不同减黄方式对术后并发症的影响[J/OL]. 中华普通外科学文献(电子版), 2023, 17(02): 144-147.

Qinglei Han, Mingjie Song, Jialong Li, Yingmei Shao. Effect of different biliary drainage before pancreaticoduodenectomy on postoperative complications[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(02): 144-147.

胰十二指肠切除术已成为外科治疗胰头、壶腹部周围肿瘤等良恶性疾病的标准术式,该手术切除器官范围广、吻合难度大,是肝胆胰腺外科最复杂手术之一。由于壶腹部周围肿瘤常常压迫胆管引起梗阻性黄疸,可导致肝功能障碍、凝血功能异常、细菌移位继发胆管炎等,使患者术后并发症风险增高。近年来,对于胰十二指肠切除术前采用何种减黄方式存在争论。本文就不同减黄方式选择对胰十二指肠切除术后并发症的影响进行综述。

Pancreaticoduodenectomy has become the standard surgical procedure for benign and malignant diseases such as tumors of the pancreatic head and periampullary tumors. It is one of the most complex operations in hepatobiliary and pancreatic surgery because of its wide range of resection and difficult anastomosis. Since the periampullary tumor often compresses the biliary tract and causes obstructive jaundice, it can lead to liver dysfunction, abnormal coagulation function, bacterial translocation and secondary cholangitis, which increases the risk of postoperative complications. In recent years, there are controversies about the method of preoperative biliary drainage for patients undergoing pancreaticoduodenectomy. This article reviews the effect of different biliary drainage methods on postoperative complications after pancreaticoduodenectomy.

表1 Whipple术后并发症诊断标准和应对策略
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