改良胰十二指肠切除术治疗16例胰头及壶腹周围癌疗效观察

Clinical observation of pylorus-preserving pancreatoduodenectomy for 16 cases of resectable pancreatic and peri-ampular carcinoma

对16例可切除胰头及壶腹周围癌行保留幽门的改良胰十二指肠切除术进行分析。结果表明，与传统术式相比，改良胰十二指肠切除术不仅缩短了手术时间，而且还改善了病人术后营养状况，减少术后并发症的发生。同时5年和3年生存率分别为18．7％和31．2％，与传统方法相近。因此，对肿瘤较小的胰头及壶腹周围癌，宜首选保留幽门的改良胰十二指肠切除术。

16 cases of pancreatic and peri-ampular carcinoma underwent pylorus-preserving pancreatoduodenectomy. Compared with the traditional pancreatoduodenectomy, the modified method not only short-ens the operative time, but also improves patients' nutritional status and reduces the occurence of complica-tions. While the survival rates for 5-year and 3-year are 18. 7% and 31. 2% respectively, nearing the traditional ones. So, it is suggested that pylorus-preserving pancreatodenectomy be first choice for pancreatic and peri-ampular carcinoma if the tumor is not in late stage.