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时间:2017-12-10
《warshaw术后长远期并发症的随访观察》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据空坐匡堂盘查垫!!芏璺旦!旦箜!!鲞笠!兰塑盟堕!丛鲤』垦!i塑:垒P堕!!:垫!!:!塑:塑:盟!:!!Warshaw术后长远期并发症的随访观察吕少诚史宪杰王宏光纪文斌万涛徐明月张雯雯刘同友【摘要】目的探讨胰体尾切除术患者行War,shaw术式后长远期并发症情况。方法回顾性分析解放军总医院2006年1月至2012年1月84例行胰体尾切除术患者的临床资料,其中58例保脾患者35例行Warshaw术式,23例行Kimura术式,并对所有患者进行随访。结果35例Warshaw术式患者,随访0.75—6.7
2、5年,中位随访时间2.6、年。随访期间,失访2例,26例有近期影像学资料患者提示5例患者有不同程度脾梗死,发生率为19.2%(5/26),6例患者有胃底静脉曲张,发生率为23.1%(6/26)。所有患者随访期间,均未发生脾脓肿、呕血等并发症,无再次手术患者,无死亡患者。结论保脾胰体尾切除术行Warshaw术式术后有增加长远期并发症的风险,需要严格掌握其手术适应证。【关键词】胰腺切除术;脾;手术后并发症;随访研究FoHow·upstudiesforlong-termpostoperativeeomplicati
3、onsofWarshawoperationLO研t∞一cheng,删Xian-jie,WANG舶ng-guang,JI耽n—bin,黝ⅣTao,XU胁昭一yue,ZHANG阢n—wen,UU%愕一you.Department0厂HepatobdmrySurgery,PLAGeneralHospital,Being100853,ChinaCorrespondingauthor:SillXian-jie.Email:shixianjie301@yahoaeonl。cn【Abstract】0bjectiveToex
4、plorethelong-termpostoperativecomplicationsofWarshawoperationfordistalpancreateclomywithpreservationofspleen.MethodsRetrospectivelyanalyzedtheclinicaldataofdistalpanereateetomyon84casesbetweenJanuary2006andJanuary2012.Amongthem,35patientsunderwentWarshawope
5、rationfordistalpancreatectomywithpreservationofspleenandanother23haddistalpancreatectomywithKimuraoperation.A11ofthemwerefolloweduD.ResultsAllproceduresweresuccessful.Therewasnoperioperativemortality.Duringthefollow-upperiod,2patientsundergoingWarshawoperat
6、ionwerelost.’nIemedianfollow—upperiodWaS2.6years(range:o.75—6.75).Twenty-sixpatientswiththerecentneuroimagingdatashowed:5patientswerediagnosedofsplenicinfarctionandtheincidencerateWaS19.2%(5/26)and6withgastricvaricesandtheincidenceratewas23.1%(6/26).Butnone
7、ofthemdevelopedgastrointestinalhemorrhageorsplenicabscess.ConclusionTheWarshawoperationforelistalpancreatectomywithpreservationofspleenmayjnereasetheriskoflong-termpostoperativecomplicationsSOthatitsoperativeindicationmustbestrictlymastered.【Keywords】Panere
8、atectomy;Spleen;Postoperativecomplications;Follow—upstudies传统意义上的胰体尾切除术往往切除靠近胰尾部的脾血管,并同时切除脾脏。为了术中保留脾脏,Warshaw于1988年首次成功实施了保留胃部血管以保留脾脏的胰体尾切除术,即Warshaw术式。此后,该术式在临床的应用也不断扩展,但同时该术式有增加术后脾梗死和胃底静脉曲张的风险⋯。本研究对解
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