右半结肠癌侵犯十二指肠的外科处理  

Surgical management of infiltrated duodenum by right colon carcinoma.

作　　者：周建平[1] 皮执民[1] 范丹凤[1] 胡继雄[1] 钟德[1] 王午[1] 庄赞根[1] 王先明[1] 

机构地区：[1]湖南医科大学附属第二医院普外科

出　　处：《中国实用外科杂志》1998年第11期666-667,共2页Chinese Journal of Practical Surgery

摘　　要：目的：探讨右半结肠癌侵犯十二指肠的外科处理方法。方法：在近１０年中对１０例右半结肠癌侵犯十二指肠病人根据不同病理特点作了手术处理，术式包括十二指肠局部切除、穿孔修补、扩大胰头十二指肠联合切除等。根据肿瘤浸润十二指肠程度，提出将浸润程度分为３型。结果：术后９例一期恢复，另１例在处理并发症后也恢复出院，其中２例已生存３年以上。结论：根据临床分型作出积极的外科处理将有助于改善病情或使病人得以痊愈。Objective:probing surgical management with infiltrated duodenum by right semicolonic carcinoma.Method:ten cases with infiltrated duodenum by right semicolonic carcinoma were managed surgically in past decade,including duodenal part resection,repairing of rupture and pancreatic-duodenal resection.Three pathologic type were divided according to duodenal infiltrated extent.Results:there were no mortality in perioperative period.Two cases surived more than three years.Conclusion:authors emphasized that active surgical management to decodenal infiltrated focus sould be contributive to improve prognosis according to pathologic type.

关 键 词：右半结肠癌 十二指肠侵犯 结肠肿瘤 肿瘤浸润 

分 类 号：R735.350.6[医药卫生—肿瘤] R730.56[医药卫生—临床医学]