Partial duodenectomy and translocation of the distal common bile duct in repairing duodenal defect near the papilla of Vater for a gastrointestinal stromal tumor  

作　　者：HE Qing-si JIANG Jin-bo LIU Feng-jun SUN Guo-rui LI Xue-mei 

机构地区：[1]Department of General Surgery, Qilu Hospital, Shandong University, Jinan 250012, China [2]Department of Pharmacology, School of Medicine, Shandong University, Jinan 250012, China

出　　处：《Chinese Medical Journal》2007年第16期1462-1464,共3页中华医学杂志（英文版）

摘　　要：Surgical resection is preferred in the treatment of gastrointestinal stromal tumor （GIST）. Duodenal GIST comprises 4.5% of all GISTs, but the optimal surgical procedure for it remains uncertain. Since GISTs grow extensively and rarely give rise to lymph node metastasis, pancreatoduodenectomy, which has been used to treat duodenal GIST, may be excessive for this disease. On the contrary, pancreas-sparing duodenectomy has only been performed in a few hospitals because the procedure requires precise anatomical knowledge of the pancreatic head. We successfully performed partial duodenectomy and translocation of the distal common bile duct as a patch to repair the defect in a patient with duodenal GIST close to the papilla of Vater.Surgical resection is preferred in the treatment of gastrointestinal stromal tumor （GIST）. Duodenal GIST comprises 4.5% of all GISTs, but the optimal surgical procedure for it remains uncertain. Since GISTs grow extensively and rarely give rise to lymph node metastasis, pancreatoduodenectomy, which has been used to treat duodenal GIST, may be excessive for this disease. On the contrary, pancreas-sparing duodenectomy has only been performed in a few hospitals because the procedure requires precise anatomical knowledge of the pancreatic head. We successfully performed partial duodenectomy and translocation of the distal common bile duct as a patch to repair the defect in a patient with duodenal GIST close to the papilla of Vater.

关 键 词：gastrointestinal stromal tumors DUODENUM surgical procedures  operative 

分 类 号：R735[医药卫生—肿瘤]