姑息性外科手术在晚期壶腹周围癌治疗中的作用  

Palliative Surgical Treatment for Patients with Advanced Periampullary Carcinoma

作　　者：陈涛[1] 汤礼军[1] 田伏洲[1] 向珂[1] 石力[1] 崔建峰[1] 

机构地区：[1]成都军区总医院全军普通外科中心,四川成都610083

出　　处：《中国普外基础与临床杂志》2011年第4期423-425,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的评价姑息性外科手术在无法切除的晚期壶腹周围癌治疗中的作用。方法对我院1998年6月至2008年6月期间接受姑息性外科手术治疗的292例晚期壶腹周围癌患者的临床资料进行回顾性分析。结果 292例患者中,术后死亡率及并发症发生率分别为0.7%(2/292)及24.0%(70/292),平均存活时间10.3个月。有243例(83.2%)患者术后总胆红素完全降至正常,有39例(13.4%)患者总胆红素较术前降低一半以上,总有效率为96.6%(282/292)。结论对于无法切除的晚期壶腹周围癌,姑息性外科手术是一种安全、有效的治疗方法,手术方式以Roux-en-Y胆管空肠吻合联合胃空肠吻合为宜。Objective To assess the value of palliative surgical treatment for patients with advanced periamp- ullary carcinoma. Methods The clinical data of 292 cases of unresectably advanced periampullary carcinoma who had undergone palliative surgical treatment between June 1998 and June 2008 were analyzed retrospectively. Results The mortality and incidence of complications after operation were 0.7% （2/292） and 24.0% （70/292）, respective-ly. The average survival time was 10.3 months （range 4-29 months）. Total bilirubin decreased to normal in 243 cases （83.2%） and decreased by 50% in 39 cases （13.4%） after operation. The totally effective rate was 96.6% （282/292）. Conclusions Palliative surgical treatment is a safe method for the patients with unresectably advanced periampullary carcinoma. Hepaticojejunostomy combined with gastrojejunostomy is recommended for these patients.

关 键 词：壶腹周围癌 姑息性外科手术 

分 类 号：R735.0[医药卫生—肿瘤]