壶腹部癌的局部切除治疗——附11例报告  

Local Resection for the Carcinoma of Vater Ampulla:a Report of 11 Cases

作　　者：孙宝友[1] 张俊峰 穆庆岭[3] 申泮远[3] 潘晓华[3] 

机构地区：[1]潍坊市人民医院普外科,山东潍坊261041 [2]山东省肿瘤防治研究院肝胆科,山东济南250017 [3]山东省立医院肝胆科,山东济南250021

出　　处：《肿瘤防治杂志》2003年第12期1296-1298,共3页China Journal of Cancer Prevention and Treatment

摘　　要：目的 :评价局部切除治疗壶腹部癌的效果。方法 :1996年 5月 - 2 0 0 0年 12月 ,16例壶腹部癌的患者进行局部切除术 ,获随访 11例 ,其中术后组织病理证实为高分化腺癌 7例 ,其中中分化腺癌 2例 ,低分化腺癌 2例。 11例均行十二指肠切开肿瘤切除术。结果 :本组无手术死亡 ,术后均获随访 ,随访时间 6～ 5 3个月。 3例分别于术后 9、18、2 7个月死于其他病 ,1例 2 1个月后复发死亡。其余 7例均在随访中 ,平均生存期 2 3 4个月。术后 1年生存 8例 (72 7% ) ,2年为 5例 (4 5 5 % ) ,4年为 2例(18 2 % )。结论 :局部切除具有手术操作简单、创伤小、恢复快、手术并发症及死亡率低等特点。适应于肿瘤较小、无壶腹周围浸润及淋巴结转移 。Objective To evaluate the effect of local resection for the cancer of Vater ampulla.Methods Eleven patients with Vater ampullary carcinoma underwent local resection from May 1996 to December 2000.All cases were confirmed by pathology:7 well differentiated adenocarcinoma,2 moderately and 2 poorly differentiated adenocarcinoma.All cases were performed with the local resection through duodenum.Results There was no death in this series,all cases had been followed up for 6-53 months.Three patients with other diseases died 9,18 and 27 months after operation respectively,one died with recurrence postoperatively.Seven cases have been following up and the average survival time was 23.4 months.Of the 11 cases,8(72.7%) alived equal or more than one year,5(45.5%) 2 years,2(18.2%) 4 years.Conclusions Local resection of Vater ampulla carcinoma has many advantages,such as simple performance,less trauma,quick recovery,low complication and death rate of operation.It is suitable for patients with a small tumor,no invasion or lymphatic metastasis,or for the elderly patients who can’t endure pancreatoduodenectomy.

关 键 词：胆总管肿瘤 外科学 瓦特氏壶腹 

分 类 号：R735.0[医药卫生—肿瘤]