【作者】 吴瑜；

【导师】 秦明放；

【作者基本信息】 天津医科大学 ， 中西医结合临床外科， 2004， 硕士

【摘要】 目的：探讨ENBD在腹腔镜胆肠吻合术中的作用。方法：2000年1月至2003年12月间，对15例不能切除的晚期胰腺癌患者行腹腔镜胆囊空肠吻合(Laparoscopic Cholecystojejunostomy，LCJS)、腹腔镜胃空肠吻合术(Laparoscopic gastrojejunostomy)，10例行开腹胆肠、胃肠吻合术。术前两组患者均常规行ENBD减黄治疗，观察患者黄疸消退情况和肝功能改善情况，作术前术后比较，作相应统计学处理。同时观察BD管在胆肠内引流术中、术后的作用。结果：患者ENBD术后黄疸逐渐消退，肝功能异常指标较术前恢复。BD管在术中有降低手术并发症的作用，术后通过BD管造影可了解胆肠吻合口情况。结论：ENBD联合腹腔镜胆肠吻合术在治疗不能切除的晚期胰腺癌中可降低手术并发症，提高手术的安全性。更多还原

【Abstract】 Objective To explore the effect of ENBD in process of laparoscopic cholecystojejunostomy. Methods From January 2000 to december 2003, ENBD was performed to relieve jaundice before laparoscopic cholecystojejunostomy in 15 patients and corresponding operation cholecystojejunostomy in 10 patients in unresectable late carcinoma of pancreas. To observe regression of the jaundice and amelioration of the Liver function. Comparing the markers on the preoperative period and postoperative period. Making statistics analysis simultaneously. Observing the effects of the BD duct in process of choleric-enteroic by-pass. Results The jaundice of the patients extinct gradually on the postoperative period, abnormal parameters of the Liver function were improved comparing with those on the preoperative period. The BD duct be able to cut down the complications of operations.We can get the message of the stoma in cholecysto-jejunum to carry out the cholangiography through the BD duct on the preoperative period. Conclusions For treatments ofunresectable late carcinoma of pancreas, combined ENBD and laparoscopic cholecystojejunostomy can cut down the complications of the operation, rise the reliability of the operation.更多还原