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目的 探讨胆总管囊肿切除术中胰管损伤的处理及预防。方法 分析手术处理 5例胰管损伤的临床资料。结果 5例胰管损伤中行胰管修补 3例、胰管十二指肠吻合 1例及副胰管结扎 1例 ;术后 4例效果满意 ,1例胰漏经保守引流治愈。结论 术中造影可清楚显示胆胰管连接系统 ,指导胆总管囊肿根治切除术离断胆胰管连接部水平 ,避免损伤胰管。对胰管损伤者应行胰管修复或重建术。
Objective To investigate the treatment and prevention of pancreatic duct injury in choledochal cyst resection. Methods The clinical data of 5 cases of pancreatic duct injury treated by surgery were analyzed. Results In 5 cases of pancreatic duct injury, 3 cases of pancreatic duct repair, 1 case of pancreatic duodenal anastomosis and 1 case of secondary pancreatic duct ligation were performed. The results of 4 cases were satisfactory, and 1 case of pancreatic leakage was cured by conservative drainage. Conclusions intraoperative angiography can clearly show the connection of the biliary and pancreatic duct, guide the choledochal cyst radical resection of the level of separation of the junction of the bile duct and pancreatic duct to avoid damage to the pancreatic duct. Pancreatic duct injury should be performed on pancreatic duct repair or reconstruction.