CAJ | 학술논문

目的探讨保留器官功能的胰腺切除术式在治疗胰腺良性及低度恶性肿瘤中的疗效.方法回顾性分析2005年5月至2011年6月施行的28例保留器官功能的胰腺切除术患者的临床资料.结果 28例患者行保留十二指肠的胰头切除术7例,中段胰腺切除术9例,行保留脾脏的胰体尾切除术5例,行胰腺肿块局部切除术7例.行保留十二指肠胰头切除术的7例患者术后并发胰瘘1例.行中段胰腺切除术的9例患者术后并发胰瘘1例.行胰腺肿块的局部切除术7例患者中切口脂肪液化2例,均经保守治疗而愈.患者均获得随访,随访时间半年到6年,均无肿瘤复发,无新发糖尿病,脂肪泻及胰腺假性囊肿形成.结论保留器官功能的胰腺切除术治疗胰腺良性或者低度恶性的肿瘤临床疗效确切,且可明显降低手术创伤.
목적 탐토보류기관공능적이선절제술식재치료이선량성급저도악성종류중적료효.방법 회고성분석2005년5월지2011년6월시행적28례보류기관공능적이선절제술환자적림상자료.결과 28례환자행보류십이지장적이두절제술7례,중단이선절제술9례,행보류비장적이체미절제술5례,행이선종괴국부절제술7례.행보류십이지장이두절제술적7례환자술후병발이루1례.행중단이선절제술적9례환자술후병발이루1례.행이선종괴적국부절제술7례환자중절구지방액화2례,균경보수치료이유.환자균획득수방,수방시간반년도6년,균무종류복발,무신발당뇨병,지방사급이선가성낭종형성.결론 보류기관공능적이선절제술치료이선량성혹자저도악성적종류림상료효학절,차가명현강저수술창상.
Objective To discuss the proper surgical management for pancreatic benign and lowgrade malignancies.Methods The clinical data of 28 cases who accepted organ preserving pancreatectomy from May 2005 to June 2011 was analyzed retrospectively.Results Seven cases underwent duodenumpreserving resection of the head of the pancreas,9 cases underwent middle segmental pancreatectomy,5 cases underwent spleen-preserving distal pancreatectomy,7 cases underwent partial pancreatectomy.Pancreatic fistula occurred in one of 7 cases who accepted duodenum-preserving resection of the head of the pancreas,pancreatic fistula developed in one of 9 cases who accepted middle segmental pancreatectomy.Fat liquefaction occurred in 2 of 7 cases after partial pancreatectomy.These complications were cured by conservative treatment.All cases were followed-up from 6 months to six years.There was no tumor recurrence nor new-onset diabetes mellitus,steatorrhea and pancreatic pseudocyst formation.Conclusions Organ preserving pancreatectomy is effective treatment for pancreatic benign and low-grade malignant tumors.