The Clinical Analysis Research In Different Resection Ways Of Pancreatic Body And Tail

Objective:Discusses the different resection ways of pancreatic tail and body,compare postoperative complications, according to the severity of the complications toselect the most appropriate operation method. Methods: The clinical data of65patientswho underwent distal pancreatectomy were analyzed,29of them routine of spleenpancreatic body keep tail resection (the spleen group),36routine joint spleen removedpancreatic body tail resection (cut spleen group), According to the situation of thepancreas surgery in65patients with32cases only with manual suture (manual group),and the joint manual nail routine with suture (joint group),11cases only with nails andimplement suture (the closed group). Results: The spleen group began pancreatic fistularate (41.4%,12/29) and cut spleen group (44.4%,16/36) there is, The use of joint groupthe pancreas after pancreatic fistula rate (31.8%,7/22) less than manual group (37.5%,12/32) and the closed group (81.9%,9/11); Spleen cut group pleural effusion incidence(88.9%,32/36) higher than the spleen group (10.3%,3/29); The spleen group ofabdominal bleeding rate (13.8%,4/29) than the spleen cut group (0%,0/36); Abdominalabscess, infection of incision, pancreas fluid pseudocyst comparison or around there.Conclusion: Keep or joint spleen pancreatic resection of the body tail resection eachhave an advantage, according to the specific situation in this decision, For benign lesionsand venereal change between the spleen pancreatic body keep feasible resection of thetail.