摘要
目的探讨保留十二指肠胰头切除术(DPPHR)的适应证及具体术式的选择指征。方法回顾性分析我中心2001年1月至2006年1月实施的22例 DPPHR 术患者的临床资料,其中黏液性囊腺瘤8例,黏液性囊腺癌2例,实性-假乳头状瘤4例,神经内分泌肿瘤2例,慢性胰腺炎4例(伴胰头肿块2例,伴多发结石2例),淋巴上皮囊肿1例,浆液性囊腺瘤1例。探讨 DPPHR 术式的适应证、手术方式的选择及术后并发症的防治。结果患者手术死亡0例,术后发生胰瘘3例,胆瘘1例,腹腔感染1例,十二指肠瘘2例。结论 DPPHR 术保留了胃、十二指肠及胆道的连续性,手术安全性好,降低了手术创伤和切除范围,可作为胰头颈部良性和低度恶性肿块局限性切除的术式。
Objective To analyze the indication and choice of operation technique for duodenumpreserving resection of pancreatic head. Methods The Clinical material of the 22 patients who received duodenum-preserving resection of pancreatic head （DPPHR） from January 2001 to January 2006 was analyzed. Of the 22 cases, 8 cases presented with mucinous cystadenoma, 2 cases with mucinous cystadenocarcinoma, 4 cases with solid-pseudopapillary tumors, 2 cases with pancreatic endocrine tumors, 4 cases with chronic pancreatitis, 1 case with lymph epidermis cyst, 1 case with serous cystadenoma. The indication, choice of operation technique of DPPHR and the prevention and management of the pest-operative complications were investigated. Results No patient died of the operation. Three cases（ 13.6% ） developed pancreatic fistula after the operation, 1 case（4. 5% ） developed biliary fistula, 1 case（4. 5% ） developed abdominal infection and 2 cases of duodenal fistula occurred （9. 1% ）. Conclusions DPPHR retains the continuity of stomach, duodenum and biliary ducts. The operation is safe and it reduces wounds and excision scope. This procedure can be used in benign and low malignant lesions in the head and neck of the pancreas.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第1期24-26,共3页
Chinese Journal of Surgery
关键词
胰腺切除术
胰腺肿瘤
保留十二指肠胰头切除术
Pancreatectomy
Pancreatic neoplasms
Duodenum-preserving resection of pancreatic head
