胰十二指肠切除联合D2＋胰周淋巴结清扫术

Pancreaticoduodenectomy combined with extended retroperitoneal lymphadenectomy Qian

对可切除的胰头癌、远端胆管癌和壶腹周围癌，根治性切除是其预后的重要决定性因素之一。为了达到Rn切除，临床上有多种切除方式如胰头十二指肠切除＋胰周淋巴结的清扫术等。南京医科大学第一附属医院设计和应用了胰头十二指肠切除联合D2＋胰周淋巴结清扫术（在胰十二指肠切除术基础上进行广泛的腹膜后淋巴结清扫）治疗远端胆管癌，安全有效。

Radical resection is one of the important factors for improving the prognosis of patients with resectable carcinoma of head of the pancreas, carcinoma of the distal bile duct and periampullary carcinoma. In order to proceed with a R0 resection, there are many types of panereaticoduodenectomy （PD） for pancreatic, biliary and periampullary carcinoma such as PD with lymphadenectomy. In this report, we described a PD with extended retroperitoneal lymphadenectomy （D2＋ ） for the adenocarcinoma of the distal bile duct. The case presented underscores the feasibility and safety of PD with D2＋ lymphadenectomy.