摘要
目的探讨胰头癌侵犯肠膜上静脉及/或门静脉时手术切除的方法,以及胰头癌姑息性切除的临床意义。方法回顾3年间手术治疗的7 1例胰头癌患者的临床资料,对有血管侵犯者,采取直接切断胰腺的方法切除肿瘤,配合局部放疗、化疗。结果手术切除率5 7.7 5%;围手术期并发症发生率2 2.5 4%;死亡1例(肺炎并发多器官衰竭)。术后6个月生存率1 0 0%,1年8 1.6 9%,2年4 0.8 5%。结论直接切断胰腺的方法简单、安全,可以显著提高进展期胰头癌手术切除率,延长患者生存时间。
Objective To discuss the resection technique for pancreatic carcinoma in patients with tumour invasion to the portal and/or superior mesentery vein, and the clinical significance of palliative resection of pancreatic carcinoma. Methods The clinical data of 71 cases of pancreatic carcinoma operated on within a period of 3 years were retrospectively reviewed. In patients with tumour invasion to the portal vein, a method of direc transection of pancreas was used in resection of the tumor, and was combined with local radiotherapy and chemotherapy. Results The resection rate was 57. 75 %. The complication rate was 22. 54%. One patient died of multiple organ failure resulting from pneumonia. The survival rate at 6 m, 1 - and 2- years was 100 % , 81. 69 % , and 40. 85 % respectively. Conclusions The direct transection method of pancreas resection is a simple and safe method to increase resection rate and prolong survival time for patients with advanced pancreatic carcinoma.
出处
《中国普通外科杂志》
CAS
CSCD
2006年第6期401-403,共3页
China Journal of General Surgery
