Experience in surgical treatment of 19 patients with pancreatic duct stones

• Main Author: ZHANG Yahui
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2015-05-01
• Series: Linchuang Gandanbing Zazhi
• Subjects: pancreatic calculi; digestive system surgical procedures
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=6501&ClassID=41585913

ObjectiveTo summarize the experience in the diagnosis and surgical treatment selection of pancreatic duct stones (PDS). MethodsThe medical records of 19 patients with PDS in Rongchang Hospital of Traditional Chinese Medicine from January 2006 to September 20l4 were analyzed retrospectively in terms of clinical characteristics, diagnosis, and treatment. All 19 patients were diagnosed with PDS by imaging examinations such as B-ultrasonography, computed tomography, and magnetic resonance cholangiopancreatography. Besides all cases diagnosed with chronic pancreatitis, 3 cases were accompanied by diabetes, 2 cases by jaundice, 1 case by biliary tract hemorrhage, and 1 case by carcinoma of the pancreatic head. ResultsAll patients received surgeries including 9 cases of pancreatic duodenal resection, 5 cases of both pancreatolithotomy and pancreatic duct jejunum anastomosis, 2 cases of simple resection of pancreatic body and tail, and 2 cases of duodenum-preserving pancreatic head resection. ConclusionSurgery is the most commonly used, curative method for PDS patients. Based on fully analyzing the actual situation of patients, personalized operation treatment can ensure operation success rate and improve patients′ quality of life.