胰肠端侧套入式“U8”型缝合吻合法在腹腔镜胰十二指肠切除术中的应用价值
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R657.5

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四川省医学科技创新研究会(YCH-KY-YCZD2024-073);


The application value on "U8" end-to-side invagination pancreatojejunostomy in laparoscopic pancreaticoduodenectomy
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    摘要:

    目的:探讨胰肠端侧套入式“U8”型缝合吻合法在腹腔镜胰十二指肠切除术(LPD)中的应用价值。方法:选取61例行LPD的患者为研究对象,根据胰肠吻合方式不同分为研究组(n=24)和对照组(n=37)。研究组患者行“U8”型吻合;对照组患者行改良Blumgart吻合。比较两组患者围手术期指标及术后并发症发生情况。结果:在胰管直径<3 mm的患者中,研究组患者胰肠吻合时间短于对照组[(37.6±2.5)min vs.(42.8±6.3)min,P<0.05]。研究组患者术后胰瘘总发生率低于对照组(20.8%vs.45.9%,P<0.05)。两组患者术后出血、腹腔感染、胆瘘、胃排空延迟发生率及住院时长比较,差异均无统计学意义(P>0.05)。结论:在LPD中,“U8”型胰肠缝合吻合法是一种安全、简便的术式,尤其在胰管直径<3 mm的患者中优势明显,有助于降低术后胰瘘发生率,值得临床推广。

    Abstract:

    Objective: To explore the application value of the "U8" end-to-side invagination pancreaticojejunostomy (PJ) in laparoscopic pancreaticoduodenectomy (LPD). Methods: 61 patients who underwent LPD were selected as the research subjects. They were divided into study group (n=24, "U8" PJ) and control group (n=37, modified Blumgart PJ) according to different pancreaticointestinal anastomosis methods. Perioperative parameters and postoperative complications were compared. Results: For patients with a pancreatic duct diameter<3 mm, the PJ time in the study group was shorter than that in the control group [(37.6±2.5) min vs. (42.8±6.3) min, P<0.05]. The overall incidence of postoperative pancreatic fistula in the study group was lower than that in the control group (20.8% vs. 45.9%, P<0.05). There was no statistically significant difference in the incidence of postoperative bleeding, abdominal infection, bile fistula, delayed gastric emptying, and length of hospital stay between the two groups (P>0.05). Conclusion: The "U8" PJ is a safe and simple technique in LPD, particularly advantageous for patients with a pancreatic duct diameter<3 mm. It effectively reduces the incidence of POPF and is worthy of clinical promotion.

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程祥云;李坚;魏恒明;王良波;刘宇;曹钰;郭兵;李明月;.胰肠端侧套入式“U8”型缝合吻合法在腹腔镜胰十二指肠切除术中的应用价值[J].川北医学院学报,2026,41(9):1088-1091.

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  • 在线发布日期: 2026-10-09
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