摘要
目的 总结我院 1989～ 1998年治疗侵及胰周重要血管的胰腺癌治疗经验。方法 回顾性分析胰腺、受侵血管联合切除术治疗晚期胰腺癌的手术方法和近期疗效。结果 侵及胰周重要血管的胰腺癌共 3 7例 ,其中 13例行胰头癌及受侵血管联合切除术 ,切除血管段为 0 5～ 4 0cm不等 ,其中 2例血管直接吻合、10例修补缝合、1例行人造血管移植。血流阻断时间 2 0～ 5 0min ,术后病人无并发症 ,无院内死亡。结论 胰头癌和受侵胰周重要血管联合切除术不仅可完整切除病灶 ,达到相对根治目的 ,且手术创伤不大 ,是治疗概念上部分无法切除的胰头癌的安全、可行的术式。
Objective To summarize experience in treatment of pancreatic cancer invading peripancreatic vessels. Methods The data of 37 cases of pancreatic cancer invading peripancreatic vessels treated in our department from 1989 to 1998 were retrospectively analyzed to investigate operative methods and their short-term therapeutic effects. Results Of the patients, 13 were treated with the combined resection. The length of resected vessel was 0.5-4.0 cm and duration of blood flow stopping 20-50 min. No postoperative complications and death in hospital occurred. Conclusions Extended pancreatic-duodenal resection is a safe and effective treatment for patients with pancreatic cancer invading peripancreatic vessels.
出处
《中华肝胆外科杂志》
CAS
CSCD
2001年第3期138-139,共2页
Chinese Journal of Hepatobiliary Surgery
