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PUTTING THE JEJUNUM POSTERIOR TO THE ROOT OF SUPERIOR MESENTERIC VESSELS IN THE WHIPPLE' S PROCEDURE(A REPORT 36 CASES)
Author(s): LI Sen, LI Chunyou, DU Futian, DING Wei, ZHUANG Guanyi, PEI Yongquan, SONG Qinhua
Pages: 51-
52
Year: 2000
Issue:
2
Journal: CHINESE JOURNAL OF CURRENT ADVANCES IN GENERAL SURGERY
Keyword: 胰十二指肠切除术; 胰腺肿瘤; 肠系膜上静脉;
Abstract: 目的探讨消灭胰十二指肠切除后区域性死腔的方法.方法36例胰十二指肠切除后,经肠系膜上血管蒂后间隙置入上提空肠,做改良Child吻合术.结果围手术期因肝衰、上消化道大出血死亡2例,腹腔乳糜瘘、胆瘘各1例均治愈,其余病人均恢复顺利.结论(1)整块切除胰十二指肠时,经肠系膜血管蒂后间隙上提空肠,可消灭后间隙死腔.(2)在完整切除胰钩突肿瘤时可发挥作用.
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