CAJ | 학술논문

部分局部晚期肿瘤常累及腹部多个器官,伴有消化道梗阻,而无远处转移.部分此类患者可通过实施Ro切除,理论上有获得长期生存的可能.部分患者可通过R1切除,配合术后综合治疗,可达到解除消化道梗阻、减轻疼痛、延长生存时间的目的.将联合器官切除的复杂胰十二指肠切除术应用于胰外来源肿瘤(如局部晚期胃远端癌、结肠肝曲癌、胆囊癌及胆管癌)的手术治疗,能使部分患者获得Ro切除和术后的长期生存,部分患者术后生命质量明显改善,生存时间显著延长.
부분국부만기종류상루급복부다개기관,반유소화도경조,이무원처전이.부분차류환자가통과실시Ro절제,이론상유획득장기생존적가능.부분환자가통과R1절제,배합술후종합치료,가체도해제소화도경조、감경동통、연장생존시간적목적.장연합기관절제적복잡이십이지장절제술응용우이외래원종류(여국부만기위원단암、결장간곡암、담낭암급담관암)적수술치료,능사부분환자획득Ro절제화술후적장기생존,부분환자술후생명질량명현개선,생존시간현저연장.
Some locally advanced tumors involving multiple abdominal organs without distal metastasis may cause digestive tract obstruction.Some of these patients can achieve long-term survival after Ro resection,others can obtain digestive tract obstruction relief,pain anesis and survival prolongation after R1 resection combined with postoperative comprehensive treatment.In this review,the efficacy of complex pancreaticoduodenectomy combined with organs resection was introduced based on reviewing the literatures.After the surgery,some patients achieved R0 resection and long-term survival,and the quality of life was significantly improved in some patients.