保留胰腺的十二指肠切除术治疗十二指肠肿瘤4例报告  

Pancreas-sparing duodenectomy in treatment of duodenal tumor: a report of 4 cases

作　　者：胡占良[1] 崔云甫[1] 姜明山[1] 邰升[1] 韩德恩[1] 

机构地区：[1]哈尔滨医科大学附属第二医院肝胆胰及腹腔镜外科,哈尔滨市150086

出　　处：《中华肝胆外科杂志》2005年第10期662-664,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的介绍保留胰腺的十二指肠切除术。方法对2例恶性肿瘤,2例良性肿瘤,行保留胰腺的十二指肠全切除术3例,乳头以下的十二指肠切除术1例。结果无手术死亡,1例出现胸腔积液,1例出现吻合口梗阻,无其他严重并发症,均痊愈出院。结论对十二指肠良性疾病或低度恶性肿瘤,保留胰腺的十二指肠切除术是适宜的选择。Objective To introduce the pancreas-sparing duodenectomy in treatment of duodenal tumor. Methods Of the 4 patients, 2 had malignant tumor and 2 innocent tumor. Three patients received subtotal pancreas-sparing duodenectomy and 1 of them underwent it below the duodenal papilla. Results There was no operative death, One patient had dropsy in the chest and the other had acute ileus. All the 4 patients had no serious complications and were discharged from our hospital after recovery. Conclusions Pancreas-sparing duodenectomy is fitful for treatment of benign tumors and some malignant ones of the duodenum.

关 键 词：十二指肠肿瘤 保留胰腺的十二指肠切除术 十二指肠切除术 保留胰腺 低度恶性肿瘤 治疗 吻合口梗阻 良性肿瘤 全切除术 手术死亡 

分 类 号：R735.3[医药卫生—肿瘤]