胃癌术后复发转移累及胰十二指肠区域的外科治疗

Surgical treatment for gastric cancer after operation invasing the region of pancreaticoduodenum:a analysis of 6 cases

目的:总结胃癌术后再次行胰十二指肠切除术(pancreaticoduodenctomy,PD)的经验,提高对其认识。方法:对1998年1月至2008年1月收治的6例胃癌术后再次行PD患者的临床资料进行回顾性分析。其中5例采用胰管-空肠黏膜对黏膜吻合术,1例空肠套入式吻合术。结果:6例无手术死亡;术后发生肺部感染1例,胰漏1例,腹腔感染1例,经保守治疗均治愈。结论:胃癌术后复发累及胰头或胃癌侵犯胰头,无远处转移,一般状况良好者,可考虑行PD。

Objective：To summarize the dignosis and treatment of pancreaticoduodenectomy（PD） for gastric cancer after operation.Methods：From Jan.1998 to Jan.2008,6 patients performed with PD after operation because of gastric cancer were retrospectly analysed.Of the 6 cases,5 cases were porformed end-side-mucosa PD,1 end-end PD.Results：None of the cases died periopratively.Postoperative complications,including lung injection in 1 case,pancreatic leakage in 1 case,injection of abdomino in 1 case,were cured by conservative treatment.Conclusions：PD is a safe and appropriate surgical option for patients with the head of pancreas invasive by gastric cancer or local recurrence after gastrectomy for gastric cancer if without distant metastasis.