16例胰头十二指肠切除术临床分析

目的探讨提高胰头壶腹部恶性肿瘤的手术切除率和手术成功率的方法。方法对2004～2008年收治的16例胰头十二指肠切除术患者的术后并发症、病死率及木前、术中情况进行分析。结果16例中恶性肿瘤14例,良性疾病2例(15.38%),有并发症6例(37.5%),死亡1例(6.25%)。结论要提高胰头壶腹恶性肿瘤的手术切除率和治愈率,关键是早期诊断、妥善的围手术期处理和精湛的手术技巧。

Objective In order to improve Ampullary malignant pancreatic head resection rate and success rate of surgical approach. Methods 16 patients treated by Pancreaticoduodenectomy between 2004 and 2008 were analyzed with post-operative complications, mortality and consultation before the surgery. Results In the sixteen cases, there are fourteen cases about malignant tumors, two cases about benign disease （15.38%） and six cases of complications （37.5%）. One patient have died after surgery（6.25%）. Conclusion the key to raiseAmpullary malignant pancreatic head resection rate and cure rate is early diagnosis, proper perioperative management of surgical techniques and masterful skills.