摘要目的 探讨双荷包桥接式胰肠吻合在腹腔镜胰十二指肠切除术(LPD)中应用的可行性.方法 回顾性分析浙江大学金华医院2016年1月至2019年1月收治的35例采用双荷包桥接式胰肠吻合行LPD的患者资料,分析围手术期及术后情况.结果 35例患者行完全腹腔镜胰十二指肠切除术(TLPD),并采用双荷包桥接式胰肠吻合,手术时间为(370.2±33.5)min,胰肠吻合时间(28.4±12.6)min,术后住院时间为(14.2±6.9)d,术后5例患者出现并发症,其中3例出现胰漏,1例胆漏,1例胃瘫(合并腹腔感染),3例腹腔感染(2例合并胰漏,1例合并胃瘫),均通过非手术治疗治愈.结论 双荷包桥接式胰肠吻合法操作简便、适用范围广,在TLPD中的应用安全可行,可在临床推广应用.

abstractsObjective To study the feasibility of using a double purse-string bridging pancreaticoje-junostomy in total laparoscopic pancreaticoduodenectomy ( TLPD ) . Methods A database of 35 patients who underwent TLPD using a double purse-string bridging pancreaticojejunostomy from January 2016 to Janu-ary 2019 in Jinhua Hospital of Zhejiang University was retrospectively reviewed. The perioperative outcomes were analyzed. Results All the 35 patients underwent TLPD successfully. The surgery time was (370. 2 ± 33. 5) min, and the time of constructing the pancreaticojejunostomy was (28. 4 ± 12. 6) min. The hospital stay after surgery was (14. 2 ± 6. 9) days. Five patients developed postoperative complications, including pancreatic fistula in 3 patients, bile leakage in 1 patient, gastroparesis ( complicated with abdominal infec-tion) in 1 patient, and abdominal infection in 3 patients ( 2 patients with pancreatic fistula, and 1 patient with gastroparesis) . All the patients with complications responded well to conservative treatment. Conclu-sions A double purse-string bridging pancreaticojejunostomy was simple and widely applicable. It is safe and feasible in total laparoscopic pancreaticoduodenectomy and should be promoted in clinical practice.