Vater壶腹癌23例报告  

Carcinoma of the ampulla of Vater： Report of 23 cases

作　　者：银东智[1] 袁又能[1] 

机构地区：[1]黄石市中心医院普外科,湖北435000

出　　处：《腹部外科》2011年第2期101-102,共2页Journal of Abdominal Surgery

摘　　要：目的评估和总结Vater壶腹癌治疗的临床经验。方法回顾性分析23例Vater壶腹癌的临床资料。结果18例（78．3％）行经典的胰十二指肠切除术和保留幽门的胰十二指肠切除术；术后并发胰瘘8例（34．8％），并发胃排空延迟6例（26．1％），两种术式的并发症发生率相近；术后1年生存率为77．3％，术后5年生存率为60．0％。结论Vater壶腹癌术后生存率较高，手术方式与长期生存率、术后胰瘘等发生率无明显关系。Objective To summarize the experienee in the treatment of carcinoma of the Ampul- la of Vater. Methods The clinical data of 23 patients with carcinoma of the ampulla of Vater were retrospectively. Results Most（78. 3 %）of the patients with carcinoma of the ampulla of Vater were subjected to pancreatoduodenal resection. Postoperative complications such as pancreatic fistula（34. 8 %） and delayed gastric emptying（26. 1%）occurred. The overall 1- and 5-year postoperative survival rate was 77. 3 % and 60. 0 % respectively. Conclusion The survival rate after resection for ampullary carcinoma is high. The types of reseetion（PD vs PPPD）did not independently influence survival or postop- erative complications such as pancreatic fistula and delayed gastric emptying.

关 键 词：肝胰管壶腹 肿瘤 外科手术 

分 类 号：R735[医药卫生—肿瘤]