胰腺系膜全切除在胰十二指肠切除术中的应用  

The application of total mesopancreas excision in pancreaticoduodenectomy

作　　者：王双佳[1] 李秀东[1] 周彦明[1] 许东辉[1] 苏旭[1] 陈景熙[1] 吴路鹏[1] 刘育健[1] 李滨[1] 

机构地区：[1]厦门大学附属第一医院肝胆胰血管外科,福建省361000

出　　处：《中华普通外科杂志》2015年第5期348-351,共4页Chinese Journal of General Surgery

基　　金：福建省自然科学基金青年创新项目（2014D011）

摘　　要：目的 探讨胰腺系膜全切除在胰十二指肠切除术中应用的安全性和策略.方法 2011年8月至2013年6月我科对70例胰头癌根治性胰十二指肠切除术,应用动脉入路-钩突优先技术实施全胰腺系膜切除,切除标本后标记胰腺系膜切缘送病理检查. 结果 平均手术时间（260±47） min,平均术中出血（320±167） ml.16例术后发生并发症,无围手术期死亡病例.全胰腺系膜-胰十二指肠切除术行R0切除率为75.7％. 结论 应用动脉入路-钩突优先技术实施全胰腺系膜切除安全可行,可提高胰头癌R0切除率.Objective To evaluate total mesopancreas excision in pancreaticoduodenectomy.Methods From August 2011 to June 2013,70 cases of pancreatic head cancer experienced radical pancreaticoduodenectomy by arterial approach-uncinate process priority technology in total mesopancreas excision.Resected specimens were signed with pancreatic mesangial margin for pathological examination.Results The average operation time was （260 ± 47） min,the average intraoperative blood loss was （320 ± 167） ml.Complications occurred in 16 cases,there was no perioperative death.53 patients achieved R0 resection as judged by pathologic examination,and the rate of R0 resection was 75.7%.Conclusions Arterial approach-uncinate process priority technology in total mesopancreas excision is safe and feasible improving the R0 resection rate of pancreatic head carcinoma.

关 键 词：胰腺肿瘤 胰十二指肠切除术 

分 类 号：R657.5[医药卫生—外科学]