Ⅲ、Ⅳ型肝门胆管癌切除术空肠前唇与肝面吻合应用价值研究

• 作 者: 卫常委 李艳丽
• 机 构: 河南省三门峡市中心医院,河南科技大学附属三门峡市中心医院,
• 出 处: 中国实用医药
• 发表日期: 2015年34期
• 关键词: 肝门胆管癌 空肠 切除术 肝门肠吻合术 空肠前唇 前唇 内引流 流管 数字法 并发症

目的研究Ⅲ、Ⅳ型肝门胆管癌切除术空肠前唇与肝面吻合应用价值。方法 46例根治性Ⅲ、Ⅳ型肝门胆管癌切除术的患者,按照数字法分为对照组和观察组,各23例,对照组接受肝门肠吻合术(Kasai术)式行胆肠内引流手术,观察组采用空肠前唇与肝面吻合之后,于吻合口就近处空肠内部安置引流管。对比两组患者并发症发生率。结果对照组并发症发生率为60.87%,观察组为8.70%,两组比较差异具有统计学意义(P<0.05)。结论Ⅲ、Ⅳ型肝门胆管癌切除术后,采用空肠前唇与肝面吻合方法安全可靠、简单实用,具有临床使用和推广价值。

Objective To study the value of anastomosis between the anterior lip of jejunum and liver surface in type Ⅲ and Ⅳ resections of hilar cholangiocarcinoma. Methods Totally 46 patients with radical type III and IV resection of hilar cholangiocarcinoma were divided into control group and observation group according to the digital method. Each group had 23 cases, and the control group received choledochojejunostomy (Kasai) Drainage operation, the observation group using jejunum anterior lip and liver surface anastomosis, the anastomosis near the Department of drainage placed in the jejunum. Comparing the incidence of complications between the two groups. Results The incidence of complications was 60.87% in the control group and 8.70% in the observation group. The difference between the two groups was statistically significant (P <0.05). Conclusion After resection of type III and IV hilar cholangiocarcinoma, the anastomosis of anterior jejunum lip and liver surface is safe and reliable, simple and practical, and has clinical value and promotion value.