改良 Beger 手术的临床应用.

Objective　 To investigate the clinical application value of modified Beger operation. Methods　 The clinical data of 59 patients with chronic pancreatitis, benign and low-grade malignant tumor of pancreatic head treated by surgery from January 2014 to January 2020 were retrospectively analyzed, Among them, there were 49 cases of mass type chronic pancreatitis in the head of pancreas, 3 cases of cyst with pancreatic duct stones, 2 cases of solid pseudopapillary tumor, 2 cases of intraductal papillary mucinous tumor, 2 cases of serous cystadenoma and 1 case of mucinous cystadenoma. They were randomly divided into modified beger operation group and pancreatoduodenectomy (PD) group. Among them, 31 cases underwent modified beger operation and 28 cases underwent pancreaticoduodenectomy (PD). Results　 For patients in the modified beger operation group and PD group, the operation time, intraoperative bleeding, postoperative hospital stay, incidence of postoperative complications and pain relief efficiency were(231.4 ± 42.3/268.1 ± 52.5)min, (405.5 ± 64.1 / 449.9 ± 61.2)mL, (17.1 ± 3.4 / 28.5 ± 4.1)d, (12.9 / 42.9)% and (89.7 / 88.9)%, respectively. 56 cases (29 cases in Beger group and 27 cases in PD group) were followed up for 6 months to 5 years without recurrence of tumor or stone. Conclusion　 The modified Beger operation has the advantages of less pancreatic tissue resection, less surgical trauma, safer operation, faster recovery, more accurate relief of intractable abdominal pain, and significant improvement of postoperative quality of life and nutritional status of patients. [ABSTRACT FROM AUTHOR]