改良的胰十二指肠切除术治疗16例胰头及壶腹部癌疗效观察

CLINICAL OBSERVATION OF PYLORUS - PRESERVING PANCREATODUODENECTOMY FOR 16 CASES OF RESECT ABLE PANCREATIC AND PERI-AMPULAR CARCINOMA

本文报道了16例可切除胰头及壶腹部癌行保留幽门的改良胰十二指肠切除术外科疗效。结果表明:与传统术式相比,改良的胰十二指肠切除术不但缩短了手术时间,而且还改善了病人术后营养状况,减少术后并发症的发生。同时5年和3年生存率分别为18.7％和31.2％,与传统方法相近。因此,作者认为对肿瘤较小的胰头及壶腹癌,宜首选保留幽门的改良胰十二指肠切除术。

16 cases of pancreatic and peri-ampular carcinoma underwent pylorus - preserving pancreatoduodenectomy. Compared with the traditional pancreatoduodenectomy, the modified method not only shortens the operative time, but also improves patients' nutritional status and reduces the occurence of complications. While the survival rates for 5-year and 3 -year are 18. 7% and 31. 2% respectively, nearing the traditional ones. So, it is suggested that pylorus -preserving pancreatoduodenectomy be first choice for pancreatic and peri -ampular carcinoma if the tumor is not in late stage.