142例胰腺体尾部癌临床治疗分析  

Analysis of the Treatment of 142 Cases of Pancreatic Body and Tail Carcinoma

作　　者：董亚东[1] 余海波[1] 刘鹏[1] 李德宇[1] 

机构地区：[1]河南省人民医院(郑州大学人民医院)肝胆胰腺外科,河南郑州450003

出　　处：《中国卫生标准管理》2016年第18期21-23,共3页China Health Standard Management

摘　　要：目的探讨胰体尾癌根治术的术中操作要点和技巧。方法回顾性分析我科2010年1月-2015年12月开展胰体尾癌根治术的总体情况及其主要根治性手术方式。结果 2010年1月-2015年12月我科诊治142例胰体尾癌患者,其中51例行根治性切除,51例中行标准根除术32例,扩大根治术式19例;51例中35例存在胰周神经丛的侵犯。手术均顺利完成,围手术期并发症发生率为27.4%。结论术前仔细检查,选择恰当适应证,术中准确评估,细致解剖操作,科学、理性认识胰体尾癌,以积极的态度实施胰体尾癌根治术或扩大性根治术至关重要。由良好血管外科经验的专业组医生来完成手术,有助于提高手术根治率和手术安全性。Objective To explore the development of the distal pancreatectomy of the pancreatic body and tail carcinoma and the rational evaluation and skill in the operation. Methods Retrospective study on the management of pancreatic body and tail carcinoma using the distal pancreatectomy January 2010 to December 2015 in our department. Results From January 2010 to December 2015,our hospital was in diagnosis and treatment of 142 cases of pancreatic carcinoma patients,51 cases underwent radical resection,underwent standard radical operation in 32 cases,extended radical resection in 19 cases. 51 cases in 35 cases of violations of peripancreatic nerve plexus.The operation was successful,the incidence of perioperative complications was 27.4%. Conclusion Preoperatively accurate examination,proper cases,accurately operative evalution and carefully anatomic operation are important for the distal pancreatectomy as well as the comprehensive knowledge of the pancreatic body and tail carcinoma. Such operation should be performed by special doctors having experiencedly angiological surgery in order to help to increase both the radical rate and the surgical security.

关 键 词：胰腺肿瘤 胰体尾癌根治术 外科手术 

分 类 号：R735.9[医药卫生—肿瘤]