胰十二指肠切除术后胰瘘的研究进展

Progress in Study on Pancreatic Fistula after Pancreaticoduodenectomy

摘要: 胰十二指肠切除术(pancreaticoduodenectomy, PD)手术难度大，操作过程复杂，是普外科手术中最具挑战性的手术之一。术后并发症发生率高，胰瘘是最常见且最为严重的并发症，并且往往能诱发其他并发症，被认为是PD术后患者死亡的最常见的并发症，明确胰瘘诊断，研究胰瘘发生的相关危险因素，减少胰瘘的发生以及对有效的预防措施，对胰十二指肠术疗效的提高有重要作用，本文通过对胰十二指肠术后胰瘘相关文献复习，综述如下。

Abstract: The pancreaticoduodenectomy (hereinafter referred to as PD) is difficult and complicated to op-erate, so it is one of the most challenging operations in general surgery. Moreover, the incidence of its postoperative complications is high, and pancreatic fistula is the most common and most serious complication which often can induce other complications, hence, it is deemed as the most common complication to cause the death of PD patients. In our opinion, the pancreatic fistula should be clearly diagnosed and the related risk factors for the occurrence of pancreatic fistula should be studied so as to reduce occurrence of pancreatic fistula and further take effective prevention measures, which is of important significance to improve the curative effect of pancreati-coduodenectomy. In this paper, the literature on pancreatic fistula after pancreaticoduodenectomy is reviewed, and it is summarized as follows.