Vater壶腹部扩大的局部切除术治疗壶腹部肿瘤  

Extended local resection for the treatment of periampullary carcinoma of Vater

作　　者：李森[1] 庄冠一[1] 裴永泉[1] 李春友[1] 王建立[1] 丁伟[1] 杜福田[1] 宋钦华[1] 林开祥[1] 

机构地区：[1]山东省潍坊市人民医院肝胆外科,261041

出　　处：《中华普通外科杂志》2001年第10期619-621,共3页Chinese Journal of General Surgery

基　　金：山东省卫生厅资助 (基金号 :99 1311)

摘　　要：目的　探讨对Vater壶腹部肿瘤行壶腹部扩大切除的手术方法。方法　 1995～ 1998年行壶腹部癌扩大的局部切除术 8例。切除范围包括肝外胆道、胆胰管汇合部、壶腹部及十二指肠降部后外侧壁乳头区。结果　围手术期死亡 1例。术后外压性十二指肠梗阻 1例 ,经再手术治愈。术后随访半年以上 7例 ,最长生存 2 9个月 ,无并发症及转移征象。结论　该术式虽为局部切除但可达到广泛淋巴清扫的目的 ,符合肿瘤的治疗原则。Objective To evaluate the effect of extended local resection for the treatment of periampullary carcinoma of Vater. Methods The extrahepaticobiliary tract, confluence of pancreatic and biliary duct, Vater ampulla and duodenal papilla was resected en bloc in 8 cases suffering from periampullar carcinoma from 1995 to 1998. Results One patient died perioperatively. Duodenal obstruction developed postoperatively in one patient was relieved by reoperation. All 7 cases were followed up for more than 6 months without recurrence.Conclusions This extended local resection fulfils the purpose of radical therapy for the treatment of periampullar maliganancy.

关 键 词：十二指肠肿瘤 外科手术 局部切除 壶腹部 

分 类 号：R735.0[医药卫生—肿瘤]