目的 总结胰腺瘘管空肠Roux-en-Y吻合术治疗胰管离断综合征的治疗效果。
方法 回顾性分析2002年3月至2010年7月期间我院行胰腺瘘管空肠Roux-en-Y吻合术治疗的5例胰管离断综合征患者的临床资料，分析其治疗效果及手术并发症。
结果 5例患者均为急性出血坏死性胰腺炎手术治疗后，经MRCP确诊为胰管离断综合征，手术方式为瘘管空肠Roux-en-Y吻合术，中位手术时间为178min（120～360min），中位术中失血量为300ml（150～600ml），术后中位进食时间为5d（3～8d）。随访中位时间为390d（120～712d），5例患者恢复顺利。2例患者切口感染，经切口换药治愈；1例患者出现短暂的胰肠吻合口漏，经保守治疗治愈。
结论 从本组有限的病例资料看，胰腺瘘管空肠Roux-en-Y吻合术是胰管离断综合征较安全的治疗方式。
Citation：
马海,田云鸿,杨红春,王宇. Roux-en-Y Internal Drainage of Pancreatic Fistula Tract-Jejunostomy for Disconnected Pancreatic Duct Syndrome （Report of 5 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(2): 212-213. doi:
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- 1. Bradley EL 3rd. A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis， Atlanta， Ga， September 11 through 13， 1992[J]. Arch Surg， 1993， 128(5)：586-590.
- 2. Fulcher AS， Turner MA， Yelon JA， et al. Magnetic resonance cholangiopancreatography (MRCP) in the assessment of pancreaticduct trauma and its sequelae：preliminary findings[J]. J Trauma，.
- 3. Bassi C， Dervenis C， Butturini G， et al. Postoperative pancreatic fistula：an international study group (ISGPF) definition[J]. Surgery，.
- 4. Pelaez-Luna M， Vege SS， Petersen BT， et al. Disconnected pancreatic duct syndrome in severe acute pancreatitis：clinical and imaging characteristics and outcomes in a cohort of 31 cases[J]. Gastrointest Endosc， 2008， 68(1)：91-97.
- 5. Lawrence C， Howell DA， Stefan AM， et al. Disconnected pancreatic tail syndrome：potential for endoscopic therapy and results of long-term follow-up[J]. Gastrointest Endosc， 2008， 67(4)：673-679.
- 6. Tann M， Maglinte D， Howard TJ， et al. Disconnected pancreatic duct syndrome：imaging findings and therapeutic implications in 26 surgically corrected patients[J]. J Comput Assist Tomogr， 2003， 27(4)：577-582.
- 7. Uomo G， Molino D， Visconti M， et al. The incidence of main pancreatic duct disruption in severe biliary pancreatitis[J]. Am J Surg， 1998， 176(1)：49-52.
- 8. Tsiotos GG， Luque-de León E， Sarr MG. Long-term outcome of necrotizing pancreatitis treated by necrosectomy[J]. Br J Surg， 1998， 85(12)：1650-1653.
- 9. Telford JJ， Farrell JJ， Saltzman JR， et al. Pancreatic stent placement for duct disruption[J]. Gastrointest Endosc， 2002， 56(1)：18-24.
- 10. Howard TJ， Rhodes GJ， Selzer DJ， et al. Roux-en-Y internal drainage is the best surgical option to treat patients with disconnectedduct syndrome after severe acute pancreatitis[J]. Surgery， 2001， 130(4)：714-719.
- 11. Bassi C， Butturini G， Falconi M， et al. Outcome of open necrosectomy in acute pancreatitis[J]. Pancreatology， 2003， 3(2)：128-132.
- 12. Ho HS， Frey CF. Gastrointestinal and pancreatic complicationsassociated with severe pancreatitis[J]. Arch Surg， 1995， 130(8)：817-823.
- 13. Martin FM， Rossi RL， Munson JL， et al. Management of pancreaticfistulas[J]. Arch Surg， 1989， 124(5)：571-573.
- 14. ， 48(6)：1001-1007.
- 15. ， 138(1)：8-13.
