胰头癌行胰腺全系膜切除75例报告  

Total mesopancreas excision(TMpE) in pancreatic head tumors with 75 cases report

作　　者：吴文广[1,2] 吴向嵩[1,2] 李茂岚[1,2] 杨桂华[1,2] 丁琦晨 翁昊[1,2] 丁倩[1,2] 张林[1,2] 曹阳[1,2] 包润发[1,2] 束羿俊 陆建华[1,2] 龚伟[1,2] 施伟斌[1,2] 顾钧 王雪峰[1,2] 刘颖斌[1,2] 全志伟[1,2] 彭淑牖 

机构地区：[1]上海交通大学医学院附属新华医院普外科 [2]上海交通大学医学院胆道疾病研究所,上海200092 [3]浙江大学医学院附属第二医院普外科,浙江杭州310009

出　　处：《中国实用外科杂志》2013年第10期859-862,共4页Chinese Journal of Practical Surgery

摘　　要：目的探讨胰头癌行胰腺全系膜切除的方法和策略。方法 2010年5月至2012年8月,上海交通大学医学院附属新华医院共施行胰头癌胰腺全系膜切除75例,手术标本三维空间切缘均行病理检查。结果平均手术时间262 min,平均术中出血415 mL。17例发生术后并发症,无围手术期死亡病例。53例标本三维空间切缘病理检查达到R0切除,R0切除率为70.7%。结论胰腺全系膜切除技术安全可行,有助于提高胰头癌R0切除率。Objective To evaluate the approach and strategy of total mesopancreas excision in pancreatic head carcino- ma. Methods From May 2009 to August 2012, 75 total mesopancreas excision for pancreatic head carcinoma were per- formed at our institution,and surgical specimens resection margins were sent to pathologic examination in three-dimen- sional space. Results The mean operation time was 262 minutes, and the mean blood loss was 415 ml. 17 cases with postoperative complications and no perioperative deaths. 53 patients were considered as R0 resection in final three-di- mensional pathologic examination, and the rate of R0 resection is 70.7% .Conclusion Total mesopancreas excision is a safe procedure in pancreatic head carcinoma, and help increasing rate of R0 resection.

关 键 词：胰头癌 胰腺系膜 胰腺全系膜切除 R0切除 

分 类 号：R6[医药卫生—外科学]