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METHODS: In two severe pancreaticoduodenal injury patients, pancraticoduodenectomy was performed by modified Child pancreaticojejunostomy with 40 Prolene line continuous suture.

对2例十二指肠切除术患者,采用40 Prolene线双层肠端端套入式连续吻合。

Methods: After the model of transplanted pancreatic cancer was established in nude mice with orthotransplantation of human pancreatic cancer cell line into the pancreas, the ischemia of the right lobe of the pancreas was induced with ligation of the gastroduodenal, inferior pancreaticoduodenal and dorsal pancreatic arteries.

在建立人腺癌细胞株裸小鼠腺原位移植瘤模型的基础上,结扎荷瘤裸鼠胃十二指肠动脉、十二指肠下动脉及背动脉诱导腺右叶区域性缺血,观察缺血对裸小鼠腺移植癌群体增殖动力学及细胞周期动力学的影响。

The display rate was 100% for peri-pancreatic big veins, including splenic vein, superior mesenteric vein, and portal vein; 85.3% and 77.3% for small veins of pancreatic head, including ante-superior pancreaticoduodenal vein, gasticocolonal trunk and its branches.

腺周围大静脉(脾静脉,肠系膜上静脉,门静脉主干)的显示率为100%;头部小静脉(十二指肠上前静脉,胃结肠干及其属支)的显示率为85.3%和77.3%。

Objective To explore a simple and effective technique in prevention of pancreatic leakage after pancreatoduodenectomy .

目的 探讨十二指肠切除术中简单而有效地预防瘘的手术方法。

Complete resection was achieved in all cases, including pancreatoduodenectomy in 13 cases, by pylorus-preserving pancreatoduodenectomy in 3 cases, and tumor enucleation in 7 cases.

十二指肠切除术13例,其中4例合并右半结肠切除术,1例合并右肝转移灶切除,2例合并右肝脓肿引流术;行保留幽门的十二指肠切除术3例;行肿瘤局部切除术7例。

Key words]pancreatic tumor;duodenal tumor;pancreatoduodenectomy;vascular reconstruction;vascular prosthesis

关键词]头肿瘤;十二指肠肿瘤;十二指肠切除术;人工血管;血管重建

Dissection of pancreatic neck and fiberboard in pancreatoduodenectomy.

钟德玝。十二指肠切除术中的颈与纤维板的切断。

Objective To sum up the etiology and the experience on diagnosis and treatment for pancreatogenic portal hypertension complicated with hemorrhage of upper digestive tract in severe acute pancreatitis.

源性门静脉高压症是一种因脾静脉回流受阻所致的&区域性门静脉高压症&,在重症急性腺炎后期合并消化道出血中,源性门静脉高压是较少见和容易忽视的病因。

Conventional CT showed 44 cases of edematous type, dynamic contrast enhanced CT found 28 cases had different degree of necrosis of the pancreatic tissue, 6 cases were found to have focal hemorrhage, peripancreatic fluid accumulation were found in 32 cases, pseudocyst were found in 3 cases, abscess in 2 cases.

常规平扫显示腺水肿44例,动态增强扫描显示28例出现不同程度的腺组织坏死,6例检出局灶性出血;周液体聚集32例;假性囊肿3例,脓肿2例;伴胆石症15例,胆囊肿大或胆囊壁增厚22例;胆急管扩张12例,管扩张5例;胸腔积液11例。

The use of choledoscope for repeated debicdement and removal of pancreatic and peripancrcatic infectious foci is simple and safe, with reliable clinical effects, and is a novel treatment for pancreatic and peripancreatic infections secondary to severe acute pancreatitis.

采用胆道镜对术后周感染灶进行反复、多次清创,操作方法简单、临床效果可靠,不失为治疗术后周感染病灶的一新途径。

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