局部切除乏特壶腹癌21例临床分析  

The clinic analysis of local resection in 21 patients with ampulla of Vater carcinoma

作　　者：王宗立[1] 

机构地区：[1]浙江省湖州市第一人民医院外科,313000

出　　处：《浙江临床医学》2004年第11期940-941,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 评价局部切除治疗乏特壶腹部癌的疗效。方法 回顾性分析1988年5月～1999年5月间对21例乏特壶腹部癌患者实施局部切除的结果。结果 术后并发症发生率为14.2 %(3/21)。1年和5年生存率分别为85.7 % (18/21)和33.3%(6/21)。结论 局部切除可使部分患者获得根治性切除的结果。其创伤小、恢复快、手术并发症及病死率低 ,局部切除对高龄、一般情况差。Objective To evaluate the therapeutic effect of local resection in ampulla of Vater cancinoma. Methods 21patients with ampulla of Vater carcinoma treated by local resection from1989.11to2003.5were analyzed retrospectively. Results In all21patients,there was not perioperative and postoperative death during hospitalization.The morbidity of postoperative complications was14.2%(3/21).The1year and5year survival rate was85.7%(18/21)and33.3%(6/21)respectively. Conclusion Local resection of the ampullary region might achieve a radical resection effect in part of the patients with ampulla of Vater tumor and was a therapeutic choice for early ampulla of Vater carcinoma in patients who were at high-risk due to old age,poor general condition or severe concurrent diseases.

关 键 词：乏特壶腹癌 外科手术 局部切除 治疗 

分 类 号：R735.0[医药卫生—肿瘤]