早期壶腹癌的外科手术进展

Review of the Progress on the Surgery of Early Ampullary Carcinoma

十二指肠乳头及壶腹癌是一种较少见的恶性肿瘤。目前主要以手术治疗为主,以胰十二指肠切除术为主要术式。对于早期壶腹癌的治疗有学者提出以局部切除或内镜下乳头切除。局部切除及内镜下切除具有手术死亡率、术后并发症发生率低等优势。但由于缺乏大宗的病例对照研究,对于早期壶腹癌的局部切除治疗的效果仍存在争论。

Duodenal and ampullary carcinoma is a rare malignant tumor. At present, the main treatment is surgical, the pancreatico- duodenectomy is common for ampullary cancer treatment, some scholars proposed to local excision or endoscopic papillectomy. Local excision and endoscopic resection has the advantage of operative mortality and postoperative complication rate is low. However, due to the lack of large case-control study, for the local excision of early ampullary cancer treatment effect is still in dispute.