胰头及十二指肠第二段切除术治疗壶腹周围肿瘤四例  

Pancreatic head resection with second-portion duodenectomy for the treatment of periampullary neoplasms

作　　者：陆朝阳[1] 姜洪池[1] 孙备[1] 孟庆辉[1] 谭宏涛[1] 

机构地区：[1]哈尔滨医科大学附属第一医院肝胆胰外科,150001

出　　处：《中华普通外科杂志》2005年第11期691-692,共2页Chinese Journal of General Surgery

摘　　要：目的研究胰头十二指肠第二段切除术的临床应用。方法对4例胰头十二指肠第二段切除术患者的临床资料进行回顾性分析。结果本组包括3例良性和1例低度恶性病变。平均手术时间417min,术中平均输血量533ml,平均住院时间28.6d。无手术死亡和近期严重并发症,仅出现1例术后胃排空延迟。随访6～36个月,4例患者现均存活。出现轻度脂肪泻伴消瘦1例;无新发糖尿病和严重的胃肠道症状。1例潜在恶性十二指肠间质瘤患者,随访26个月无局部复发或转移征象。结论对于壶腹周围的良性和某些低度恶性病变,胰头十二指肠第二段切除术是一种较为理想的治疗手段。Objective To investigate the clinical application of pancreatic head resection with the second portion duodenectomy （PHRSPD）. Methods The clinical data of 4 PHRSPD cases were analyzed retrospectively. Results There were 3 benign and 1 low-grade malignant periampullary tumors. The mean surgical time was 417 min, mean blood transfusion was 533 ml, mean hospital stay was 28.6 days. Delayed gastric emptying was encounted in one case. There was no hospital morality or major surgical complications. All cases were alive in the follow-up ranging from 6 to 36 months. There was no newly developed diabetes mellitus or severe gastroenteral symptoms. No reccurrence was found in the case with low-grade malignant duodenal tumor after 26 months. Conclusions PHRSPD is an efficient way to treat benign and low-grade periampullary neoplasm and accompanying massive bleeding episodes.

关 键 词：胰头十二指肠切除术 壶腹周围肿瘤 

分 类 号：R735.0[医药卫生—肿瘤]