摘要胰管结石常继发于慢性胰腺炎.结石可发生在主胰管及分支胰管,阻塞胰管致胰管高压,从而引起腹痛.外科手术一直是许多国内、外胰腺医疗中心治疗胰管结石的首选方法.胰管纵形切开取石+胰管空肠Roux-en-Y吻合术是治疗胰管结石的合理术式.微创治疗胰管结石的术式也是可行的,但远期疗效尚需进一步观察.

abstractsPancreatic duct stone is a sequel of chronic pancreatitis and may be found in the main ducts,side branches or parenchyma.These stones obstruct the pancreatic ducts and produce ductal hypertension,which leads to pain,the cardinal feature of CP.Surgical operation has been the preferred treatment of pancreatic duct stones in many domestic and external pancreatic medical centers.Lithotomy by longitudinal pancreatic duct incision and Roux-en-Y anastomosis of pancreatic duct to jejunum is the main and effective surgical procedure,while micro-surgery was also rational for the treatment of pancreatic duct stones.However,further studies with a larger sample size and longer follow-up duration are needed to improve the surgical technique and verify our initial results.