摘要
目的探讨胰头癌侵犯门静脉和／或肠系膜上静脉（PV／SMV）时的根治切除的可行性。方法回顾分析包括受侵PV／SMV在内的扩大胰头十二指肠切除术16例的临床资料。16例均行胰头十二指肠切除术，其中9例行血管壁部分切除，5例行血管节段性切除及对端吻合，2例行受侵血管切除＋自体静脉移植。结果全组患者术后均未发生血管栓塞、肠坏死、肝衰竭等并发症。除1例并发多器官衰竭于术后2d死亡外，均康复出院。15例均随访。存活超过3年者3例，超过5年者1例，存活3～26个月4例。结论对单纯侵犯PV／SMV的胰头癌施行联合PV／SMV住内的胰头癌扩大根治术是可行的。
Objective To explore the feasibility of the radical resection of cancer of head of pancreas with involving PV and SMV. Methods The data of 16 cases who underwent extended pancreaticoduodenectomy for tumors with involvement of PV/SMV were analysed retrospectively. The 16 cases all underwent extended pancreaticoduodenectomy. In 9 of the 16 cases partial resection of the wall of blood vessels was performed, 5 cases mnderwent segmental resection of the blood vessel and end-end anastomosis, 2 cases had segmental resection of the blood vessel and homologous vein transplantation. Results No cases of embolization, intestinal necrosis or hepatic failure were found in the whole group. One case died of mutiple organ failure was days after operation, and all the others were survival after operation and were followed up. Survival time was more than 3 years in 3 cases, and more than 5 years in 1 case, and 3 - 26 minths in 4 cases. Conclusions It is feasible to perform extended pancreaticoduodenectomy for cases of pancreatic head carcinoma with involvement of PV/SMV.
出处
《中国普通外科杂志》
CAS
CSCD
2006年第11期801-803,共3页
China Journal of General Surgery
