刘荣, 刘渠, 柳俨哲, 赵国栋. 胰腺外科新方向——胰管修复外科[J]. 解放军医学院学报, 2021, 42(6): 591-595. DOI: 10.3969/j.issn.2095-5227.2021.06.001
引用本文: 刘荣, 刘渠, 柳俨哲, 赵国栋. 胰腺外科新方向——胰管修复外科[J]. 解放军医学院学报, 2021, 42(6): 591-595. DOI: 10.3969/j.issn.2095-5227.2021.06.001
LIU Rong, LIU Qu, LIU Yanzhe, ZHAO Guodong. Pancreatic duct reconstructive surgery: A new direction for pancreas surgery[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2021, 42(6): 591-595. DOI: 10.3969/j.issn.2095-5227.2021.06.001
Citation: LIU Rong, LIU Qu, LIU Yanzhe, ZHAO Guodong. Pancreatic duct reconstructive surgery: A new direction for pancreas surgery[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2021, 42(6): 591-595. DOI: 10.3969/j.issn.2095-5227.2021.06.001

胰腺外科新方向——胰管修复外科

Pancreatic duct reconstructive surgery: A new direction for pancreas surgery

  • 摘要: 目前对于与主胰管毗邻的良性肿瘤,常需要扩大范围切除,甚至实施胰腺-消化道吻合来完成肿瘤的切除,这种手术方式通常会医源性损失过多的正常胰腺组织,且破坏了正常的胰腺解剖生理,增加了术后并发症的发生风险。为了更好地恢复胰管的正常生理功能,笔者在总结胰管损伤或缺损后修复手术经验的基础上,提出了胰管修复外科的概念及应用范围,希望能够以最小的创伤实现最佳的预后。

     

    Abstract: For benign tumors adjacent to the main pancreatic duct, extensive resection or even pancreatic anastomosis is often required. However, these procedures usually result in the iatrogenic loss of excessive normal pancreatic tissue, and pancreatic anastomosis also destroys normal pancreatic anatomical structure, which increases the risk of postoperative complications. In order to better restore the normal physiological function of the pancreatic duct, the concept and application scope of pancreatic duct reconstructive surgery are suggested based on the summary of surgical experience in reconstructing the pancreatic duct after injury or defect, hoping to achieve the best prognosis for patients with minimal injury.

     

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