保留十二指肠的胰头切除术治疗胰头部良性病变14例分析  

Effect of Duodenum-Preserving Pancreatic Head Resection for 14 Cases of Benign Lesions in Pancreatic Head

作　　者：王科伟[1] 李昱骥[1] 董明[1] 孔凡民[1] 

机构地区：[1]中国医科大学附属第一医院胃肠外科,辽宁沈阳110001

出　　处：《中国普外基础与临床杂志》2014年第12期1548-1551,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨保留十二指肠的胰头切除术在治疗胰头部良性病变中的应用价值。方法回顾性分析1995年1月至2012年12月期间于笔者所在医院行保留十二指肠的胰头切除术的14例胰头部良性病变患者的临床资料,对该术式的手术效果及术后并发症发生情况进行评价。结果 14例患者均顺利完成手术,无手术死亡。手术时间4.0-6.5h,平均5.2h;术中失血100-1000 mL,平均450 mL;术后3例（21.4%）发生并发症,其中胰瘘2例,胆汁漏1例,均经非手术治疗治愈;住院时间12-62d,平均17d,无住院期间死亡病例。术后获访13例,随访时间为6个月-2年,中位数为13.5个月。随访期间均无复发,均无糖尿病、胃排空障碍等远期并发症发生。结论保留十二指肠的胰头切除术是治疗胰头部良性病变安全而有效的术式。Objective To explore the value of duodenum-preserving pancreatic head resection for benign lesions in pancreatic head. Methods Clinical data of 14 patients with benign lesions in pancreatic head who were underwent duodenum-preserving pancreatic head resection from Jan. 1995 to Dec. 2012 were retrospectively analyzed, to explore the value of the surgery. Results All surgeries of the 14 patients were success. The operation time were 4. 0-6. 5 hours （5.2 hours on average）, the intraoperative blood loss were 100-1000 mL （450 mL on average）. Postoperative complications happened in 3 patients （21.4%）, including pancreatic fistula in 2 patients and biliary fistula in 1 patient, which were cured with non-surgical treatment. No deaths happened during surgery and hospitalization. Of the 14 patients, 13 patients were followed-up for 6 months to 2 years with no recurrence, diabetes, postoperative gastric emptying disorders, and other long-term complications happened. Conclusion Duodenum-preserving pancreatic head resection is the safe and effective treatment of benign lesions in the head of pancreas.

关 键 词：保留十二指肠的胰头切除术 胰头部良性病变 疗效 

分 类 号：R735.9[医药卫生—肿瘤]