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胰头十二指肠切除术 被引量:3

Experiences in pancreatoduodenectomy
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摘要 胰头十二指肠切除术是普通外科最复杂的手术之一.近年来,采用胰头十二指肠切除治疗良恶性病变增加.一方面,放射学水平的进展利于病变的精确诊断和治疗;另一方面,也归功于围术期处理水平的提高和外科手术技术的进步.湖南省人民医院肝胆医院1990-01/2007-12施行胰头十二指肠切除术604例,手术死亡率仅0.3%,手术效果优良.本文以胰头癌手术为例,介绍我们关于胰头十二指肠切除术的一些经验. Pancreatoduodenectomy may be one of the most complicated operations in general surgery. Over the past decade, performance of pancreatoduodenectomy to treat both malignant and benign disease has increased. This increase is in large part due to the decreasing perioperative mortality rate. On the one hand, recent advances in pancreatoduodenectomy have contributed to the earlier diagnosis and treatment. On the other hand, the decreasing mortality rate is also attributed to improvements in perioperative management and advances in surgical techniques. Between January 1990 and December 2006, 604 patients underwent pancreatoduodenectomy in Department of Hepatobiliary Surgery, People’s Hospital of Hunan Province. The operative mortality rate was only 0.3% and a successful long-term outcome was achieved. The paper aims to review retrospectively the clinic data about these patients, and introduce our experiences in several key steps during pancreatoduodenectomy.
作者 吴金术 彭创
出处 《世界华人消化杂志》 CAS 北大核心 2008年第13期1369-1372,共4页 World Chinese Journal of Digestology
关键词 胰头十二指肠切除术 胰头癌 外科手术 Pancreatoduodenectomy Pancreatic cancer Surgical operation
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  • 1邵成浩,胡先贵,张怡杰,刘瑞,金钢,唐岩.淋巴结转移、神经侵犯对胰头部小胰癌预后的影响[J].第二军医大学学报,2005,26(8):851-852. 被引量:2
  • 2洪德飞,许斌,彭淑牖.选择性肝血流控制下的解剖性肝叶切除在肝内胆管结石治疗中的应用[J].中华外科杂志,2006,44(1):18-22. 被引量:18
  • 3吴伟顶,彭承宏,赵大建,周光文,肖卫东,李宏为.联合肠系膜上静脉-门静脉切除在胰腺癌根治术中的作用[J].中华普通外科杂志,2006,21(9):620-622. 被引量:11
  • 4彭淑牖,吴育连,彭承宏,江献川,牟一平,王家骅,蔡秀军,李君达,陆松春,徐明坤.捆绑式胰肠吻合术(附 28 例报告)[J].中华外科杂志,1997,35(3):158-159. 被引量:158
  • 5Delcore R,Rodriguez FJ,Forster J,et al.Significance of lymph node metastases in patient s with pancreatic cancer undergoing curative resection[J].Am J Surg,1996,172(5):463-467.
  • 6Kinoshita H,Hashimoto M,Hashino K,et al.Evaluation of simultaneous excision of pancreatic cancer and the surrounding blood vessels[J].Kurume Med J,2001,48(1):21-24.
  • 7Takahashi S,Ogata Y,Tsuzuki T.Combined resection of the pancreas and portal vein for pancreatic cancer[J].Br J Surg,1994,81(8):1190-1193.
  • 8Howard JM.Development and progress in resective surgery for pancreatic cancer[J].World J Surg,1999,23(9):901-906.
  • 9Leach SD,Lee JE,Chamsangavej C,et al.Survival following panereaticoduodenectomy with resection of the superior mesentericportal vein confluence for adenocarcinoma of the paneremic head[J].Br J Surg,1998,85(5):611-617.
  • 10Bachellier P,Nakano H,Oussouhzoglou PD.et al.Is pancreaticoduodenectomy with mesentericoportal venous resection safe and worthwhile?[J].Am J Surg,2001,182(2):120-129.

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  • 1江艺,吴爱平,迟彦邦.胆道梗阻胆汁流流动特性的变化[J].中华实验外科杂志,1994,11(5):281-282. 被引量:1
  • 2徐来喜,余少鸿,陈先锋.胰十二指肠切除术后胆瘘及胰瘘的防治53例[J].世界华人消化杂志,2006,14(12):1230-1232. 被引量:8
  • 3Leung JW, Liu YL, Lau GC, Chan RC, Lai AC, Ling TK, Cheng AF. Bacteriologic analyses of bile and brown pigment stones in patients with acute cholangitis. Gastrointest Endosc 2001; 54:340-345.
  • 4Ehrlein HJ, Thoma G, Keinke O, Tsiamitas C, Schumpelick V. Effects of nutrients on gastrointestinal motility and gastric emptying after distal gastrectomy with Roux-Y gastrojejunostomy in dogs. Dig Dis Sci 1987; 32:538-546.
  • 5Ehrlein HJ, Btihner S, Thoma G, Schemann M, Keinke O, Tsiamitas C, Schumpelick V. Gastric emptying after Roux-Y and Billroth-Ⅰ gastrectomy depends on viscosity of meal and contractile patterns of small intestine in dogs. Dig Dis Sci 1987; 32:529-537.
  • 6Karlstrom L, Kelly KA. Ectopic jejunal pacemakers and gastric emptying after Roux gastrectomy: effect of intestinal pacing. Surgery 1989; 106:867-871.
  • 7Hashimoto N, Ohyanagi H. Hepatobiliary scintigraphy after biliary reconstruction- -a comparative study on Roux-Y and ESCD. Hepatogastroenterology 2000; 47:1210-1212.
  • 8Chuang JH, Lee SY, Chen WJ, Hsieh CS, Chang NIG Lo SK. Changes in bacterial concentration in the liver correlate with that in the hepaticojejtmostomy after bile duct reconstruction: implication in the pathogenesis of postoperative cholangitis. World J Surg 2001; 25:1512-1518.
  • 9Sewnath ME, Karsten TM, Prins MH, Rauws EJ, Obertop H, Gouma DJ. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice. Ann Surg 2002; 236: 17-27.
  • 10郭振武,吴咸中.胆道外科疑难危重症学[M].天津:天津科技翻译出版社,2005:292.

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