摘要
报告胰十二指肠切除术41例。其中,胰头癌9例,壶腹癌18例,乳头癌7例,十二指肠癌2例及肉瘤1例,属良性病变者4例。一期切除者39例。近期死亡3例,手术死亡率7%。随访34例、其中22例死亡,最长存活6年。手术绝对存活率:1年者36.6%(11/30);3年者4.3%(1/23);5年者4.3%(1/23)。介绍了减少胰漏并发症的手术经验。
Pancreaticoduodenectomy (Whipple's Resection) of fourty one cases is reported.It consists of carcinoma of pancreatic head in 9,carcinoma of Vater's ampulla in 18,carcinoma of Vater's papilla in 7,duodenal carcinoma in 2,duodenal sarcoma in 1,and other 4 cases with benign lesions. Resection with one-stage procedure was performed in 39 patients. Three patients died early postoperatively.The operative mortality was 7 per cent.Thirty-four patients had been followed up,of them 22 died. One patient had the longest survival of 6 years.The absolute survival rates are:1 year being 36.6%(11/30),3 years 4.3%(1/23) and 5 years 4.3% (1/23)。The method of operation and prevention of pancreatic leakage are recommended.
出处
《江西医学院学报》
1989年第1期34-37,共4页
Acta Academiae Medicinae Jiangxi
关键词
胰十二指肠切除术
肿瘤外科学
胰漏
术前诊断
pancreatectomy/method
gastroenterostomy/method
Vater's ampulla
duodenal neuplasms/surgery
pancreatic neuplasms/surgery
prognosis
