关键词: 胰十二指肠切除术, 胰肠吻合, 胰胃吻合, 生活质量

Abstract:

Make appropriate choices between pancreaticojejunostomy and pancreaticogastrostomy with considering the long-term quality of life        LIU Xu-bao，XIONG Jun-jie. Department of Pancreatic Surgery，West China Hospital，Sichuan University，Chengdu 610041，China
Corresponding author：LIU Xu-bao，E-mail: xbliu@medmail.com.cn
Abstract    To reduce the complications and improve the quality of life after pancreaticoduodenectomy，it is important to choose a reasonable way for digestive tract reconstruction. Many modifications of the reconstruction method have been proposed by clinical experts. However，pancreaticojejunostomy and pancreaticogastrostomy are two basic methods for pancreatic stump and digestive tract reconstruction. While no significant differences in the perioperative complications and mortality have been described between these two reconstruction methods. Basing on current published literature，there is ongoing debate on which method to choose for reconstruction in consideration of the effect for pancreatic endocrine and exocrine function and quality of life. Relatively speaking，for some patients who may achieve long-term survival or have insufficient pancreatic endocrine and exocrine function，the pancreaticojejunostomy should be the first choice. However，pancreaticogastrostomy may be the choice for patients with difficult pancreaticojejunostomy. In conclusion，we should make a decision for the choice in reconstruction method after pancreaticoduodenectomy in view of the experience of the surgeon，the type of primary disease，and pancreatic endocrine and exocrine function.

Key words: pancreaticoduodenectomy, pancreaticojejunostomy, pancreaticogastrostomy, quality of life