CAJ | 학술논문

目的探讨上腹部肿瘤侵犯胰腺组织的手术方法及疗效.方法 30例上腹部恶性肿瘤侵犯胰腺及胰周组织患者,采用原发癌肿根治性切除联合胰十二指肠切除术.结果 3例患者术后1个月内死于多脏器衰竭.胆囊痛伴胰头后方转移淋巴结融合固定者术后平均随访35个月,胃窦癌侵犯胰头部粘连同定者术后平均随访31个月,胃癌复发侵犯胰头部者术后平均随访13个月.结肠肝曲癌侵及胰头十二指肠者术后平均随访41个月,肝门部胆管癌伴胰头后方转移淋巴结融合固定者术后平均随访11个月.结论对上腹部肿瘤侵犯胰腺者及时行联合胰十二指肠切除,可提高肿瘤手术切除率,可望延长患者生存期.
목적 탐토상복부종류침범이선조직적수술방법급료효.방법 30례상복부악성종류침범이선급이주조직환자,채용원발암종근치성절제연합이십이지장절제술.결과 3례환자술후1개월내사우다장기쇠갈.담낭통반이두후방전이림파결융합고정자술후평균수방35개월,위두암침범이두부점련동정자술후평균수방31개월,위암복발침범이두부자술후평균수방13개월.결장간곡암침급이두십이지장자술후평균수방41개월,간문부담관암반이두후방전이림파결융합고정자술후평균수방11개월.결론 대상복부종류침범이선자급시행연합이십이지장절제,가제고종류수술절제솔,가망연장환자생존기.
Objective To probe the surgical approach and effect on upper abdominal malignant tumor infiltrating pancrea. Methods Thirty patients with upper abdominal malignant tumor infiltrating pancreas or tissue around pancrea were treated by radical resection on primary tumor combined pancreaticoduodenectomy. Results Three patients died in 1 month after operation due to multiple organ failure. The patients with gallbladder cancer and metastatic lymph nodes fixed behind caput pancreatis were followed up averaged 35 months. The patients with gastric antrum carcinoma infiltrating caput pancreatis were followed up averaged 31 months. The patients with recurrent gastric cancer infiltrating caput pancreatis were followed up averaged 13 months. The patients with pancreatic and duodenal invasion by cancer of hepatic flexure of colon were followed up averaged 41 months. The patients with hilar cholangiocarcinoma and metastatic lymph nodes fixed behind caput pancreatis were followed up averaged 11 months. Conclusion The patients with upper abdominal malignant tumor infiltrating pancreas should be operated by radical resection on primary tumor combined pancreaticoduodenectomy, which can increase the rate of tumor resection, and be expected to prolong the survival period.