中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
14期
1957-1958
,共2页
刘立军%伍万权%余红东%丁汝刚
劉立軍%伍萬權%餘紅東%丁汝剛
류립군%오만권%여홍동%정여강
壶腹周围癌%外科手术%围手术期处理
壺腹週圍癌%外科手術%圍手術期處理
호복주위암%외과수술%위수술기처리
Periampullary carcinoma%Operating surgery%Perioperative management
目的 探讨壶腹周围癌手术治疗的效果.方法 回顾性分析53例施行手术的情况.根治性切除术24例中,胰十二指肠切除术23例,保留幽门的胰十二指肠切除术1例;施行姑息性手术29例.结果 根治性切除术24例中,围手术期死亡2例(8.3%),无手术死亡.术后出现并发症的有15例,其中胰漏5例.平均住院时间26 d.结论 手术技术的不断改进以及充分的围手术期处理是提高手术治疗效果的关键.
目的 探討壺腹週圍癌手術治療的效果.方法 迴顧性分析53例施行手術的情況.根治性切除術24例中,胰十二指腸切除術23例,保留幽門的胰十二指腸切除術1例;施行姑息性手術29例.結果 根治性切除術24例中,圍手術期死亡2例(8.3%),無手術死亡.術後齣現併髮癥的有15例,其中胰漏5例.平均住院時間26 d.結論 手術技術的不斷改進以及充分的圍手術期處理是提高手術治療效果的關鍵.
목적 탐토호복주위암수술치료적효과.방법 회고성분석53례시행수술적정황.근치성절제술24례중,이십이지장절제술23례,보류유문적이십이지장절제술1례;시행고식성수술29례.결과 근치성절제술24례중,위수술기사망2례(8.3%),무수술사망.술후출현병발증적유15례,기중이루5례.평균주원시간26 d.결론 수술기술적불단개진이급충분적위수술기처리시제고수술치료효과적관건.
Objective To investigate the effect of the operational treatment for periampullary carcinoma.Methods The data of 53 operative patients were retrospectively analyzed. Among the 24radical operations, PD was performed in 23 cases ,PPPD in 1 ;the palliative operation was performed in 29 cases. Results Among the 24 radical operaions, the overall mortality was 8.3% (2/24), no operational death. The postoperative morbidity was 15 cases,including 5 cases of pancreatic fistula. Median length of hospital stay was 26 days. Conclusion Continual improvement of operative technique and sufficient perioperative management were the keys to increasing the effect of the operational treatment.