端侧封闭式原位胰肠吻合术在胰十二指肠切除

前面连续发了曾兆林教授六针法胰肠吻合的相关内容，今天再将曾兆林教授在《TheAmericanCollegeOfSurgeons》发的英文原著推送给各位同仁，以期交流，讨论。

SealingPancreaticojejunostomyinCombination

withDuctParenchymatoMucosaSeromuscular

One-LayerAnastomosis:ANovelTechniquetoPrevent

PancreaticFistulaafterPancreaticoduodenectomy

LeiZhang,MD,PhD,ZhipengLi,MM,XingWu,MM,YanLi,MM,ZhaolinZeng,MD,PhD

Pancreaticoduodenectomy(PD)hasbeenconsideredthe

surgicalprocedureofchoiceforampullarycancersince

Whippleandcolleaguesdescribed3casesin.1

Currently,PDisthestandardprocedureforthemanagement

ofpancreaticheadandperiampullarycarcinoma,

whichincludesampullarycarcinomasandcarcinomasof

thedistalbileductandtheperiampullaryduodenum.2,3In

recentyears,themortalityrateofPDhasdecreasedto

5%.4-7However,thepostoperativemorbidityrateremains

high,rangingfrom30%to50%.5,7-9Postoperativepancreatic

fistula(POPF)hasbeenreportedasthemostfrequent

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