胰头十二指肠并受侵血管整块联合切除治疗胰头癌

目的:探讨胰头十二指肠并受侵血管整块切除治疗胰头癌的适应证。方法:回顾性分析我院2003年10月至2008年11月行胰头十二指肠并受侵血管(PV/SMV)整块切除治疗胰头Ⅱ～Ⅲ期癌的手术方法,6例行PV楔形切除,用5～0Prolene缝线对拢缝合,1例节段性切断SMV,行对端吻合。结果:全组无手术死亡,无严重并发症发生。结论:受侵PV/SMV在内的联合胰头十二指肠切除术是必要的,术中解剖仔细,操作细致,可提高肿瘤切除率。

Objective:To discuss the indications of treatment carcinoma of head of pancreas with pancreatoduodenectomy in combination with vascular resection. Methods:The surgical methods of treatment of Ⅱ-Ⅲ Stage carcinoma of head of pancreas with pancreatoduodenectomy in combination with affected vascular resection(PV/SMV) in our hospital from October 2005 to November 2008 were retrospectively analyzed.6 patients were treated with portal vein (PV) wedge resection, and approximating suture by 5-0 Prolene, 1 patient were treated with superior mesentery vein (SMV) segmental resection and end-to-end anastomosis. Result:No severe complications or deaths occurred after operation. Conclusions:It’s necessary to perform the pancreatoduodenectomy in combination with affected vascular resection (PV-SMV). Meticulous operation and careful dissection are important for improving the resection rate.