布劳吻合在胰十二指肠切除术中的应用效果

doi:10.20047/j.issn1673-7210.2022.28.23

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Abstract Objective To investigate the application effect of Braun anastomosis in pancreaticoduodenectomy. Methods A prospective study was conducted on 101 patients who underwent pancreaticoduodenectomy in the Department of General Surgery, Yancheng NO.1 People’s Hospital of Jiangsu Province from February 2017 to February 2020. They were grouped according to their wishes. In the traditional group, 49 cases were treated with standard pancreaticoduodenectomy. In the modified group, 52 cases received lateral small bowel Braun anastomosis on the basis of standard pancreaticoduodenectomy. The relevant laboratory indicators, perioperative indicators, and postoperative complications were compared between the two groups. Results The levels of albumin, total cholesterol, and total bilirubin in the two groups after operation were lower than those before operation, and the differences were statistically significant (P ＜ 0.05). The postoperative hospital stay, intestinal recovery time, and drainage tube indwelling time in the modified group were shorter than those in the traditional group, and the differences were statistically significant (P ＜ 0.05). The total incidence of postoperative complications and the incidence of afferent loop obstruction in the modified group were lower than those in the traditional group, and the differences were statistically significant (P ＜ 0.05). Conclusion The application of Braun anastomosis in pancreaticoduodenectomy can reduce the incidence of postoperative complications, accelerate the recovery of gastrointestinal function and shorten the length of hospital stay.

Key words： Braun anastomosis Pancreaticoduodenectomy Postoperative complications Postoperative pancreatic fistula Afferent loop obstruction

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	ZHAO Qiaofei1 ZHA Wenzhang1▲ ZHOU Yong2 QIN Chenglin2 ZHANG Yepeng3 XU Yifan1

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ZHAO Qiaofei1 ZHA Wenzhang1▲ ZHOU Yong2 QIN Chenglin2 ZHANG Yepeng3 XU Yifan1. Application effect of Braun anastomosis in pancreaticoduodenectomy[J]. 中国医药导报, 2022, 19(28): 106-110.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.28.23 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I28/106

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