联合血管重建胰腺癌根治术(附7例报告)  

Radical surgery for treatment of pancreatic cancer combined with vessel reconstruction(report of 7 cases).

作　　者：陆维祺[1] 陈福真[1] 符伟国[1] 杨珏[1] 

机构地区：[1]上海医科大学附属中山医院外科,200032

出　　处：《中国实用外科杂志》2000年第4期208-210,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨联合切除血管和重建的胰腺癌根治术的适应证和方法。方法　对近年来所施行的区域性胰腺切除术、标准胰十二指肠切除术联合肠系膜上静脉切除治疗的 7例胰腺癌作一回顾性分析。结果　 2例行区域性胰腺切除术 ,其中 1例联合切除肝动脉 ,血管端 -端吻合 ,1例联合切除肠系膜上动脉、肠系膜上静脉 ,行血管间置移植术 ;5例行标准胰十二指肠切除术 ,联合肠系膜上静脉切除血管间置移植术。随访 8～ 6 0个月 ,情况良好 ,无胰腺癌复发 ,彩超和CT显示移植人造血管通畅。Objective To explore the indication and method in treatment of pancreatic cancer using pancreatectomy combined resection and reconstruction of blood vessel.Methods We did a retrospective study on the management of 7 cases of pancreatic cancer using regional pancreatectomy(RP) and pancreaticoduodenectomy combined resection of superior mesenteric-portal vein(SMPV) in recent years.Results RP was done in 2 cases,one of which received the resection of the hepatic artery followed by end to end anastomosis,another received resection of the superior mesenteric vein and superior mesenteric artery,revascularization was done by means of Dacron graft;pancreaticoduodenectomy combined resection of superior mesenteric-portal vein was done in other 5 cases,sutured by means of a Dacron graft.Follow-up was carried out,computed tomography(CT) images and color ultrasonic images proved a fully patent graft 8-60 months after operation and no recurrence.Conclusion The treatment that was regional pancreatectomy(RP) and pancreatectomy combined resection of blood vessel can be done in carefully selected patients with pancreatic cancer.

关 键 词：胰腺肿瘤 胰十二指肠切除 血管重建 

分 类 号：R735.905[医药卫生—肿瘤] R730.56[医药卫生—临床医学]