摘要
目的总结胰腺颈部肿瘤的外科治疗经验。方法回顾性分析哈尔滨医科大学附属第一临床医学院胰胆外科2008年1月1日至2013年12月1日期间外科手术治疗的102例胰腺颈部肿瘤病人的临床资料。结果手术治疗术式包括肿瘤局部剜除术(24例)、胰腺中段切除术(22例)、胰体尾切除术(33例)、胰十二指肠切除术(22例)、保留十二指肠的胰头颈部切除术(1例)。35例(34.3%)术后出现胰瘘,其中A级胰瘘30例,B级胰瘘5例,无C级胰瘘,2例B级胰瘘病人经内镜引导下放置胰管支架管治疗后痊愈,余病人均经非手术治疗治愈。1例病人术后12 d出现胆瘘,经非手术治疗治愈。2例术后出现腹腔出血,经积极手术探查止血后均痊愈出院。无围手术期死亡。结论胰腺颈部肿瘤手术方式多样,应在保证手术彻底性及安全性的前提下,尽可能选择保留胰腺功能的术式。
The surgical experience for the tumor of neck of pancreas：A report of 102 cases ZHANG He,SUN Bei,CHEN Hua,et al. Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China
Corresponding author：SUN Bei,E-mail：sunbei70@tom.com
Abstract Objective To summarize the experience of the surgical treatment of the tumor of neck of pancreas. Methods The clinical data of patients with tumor of neck of pancreas who undergone the surgical treatment between January 1, 2008 and December 1, 2013 in the First Affiliated Hospital of Harbin Medical University were analyzed retrospectively. Results All the cases included 24 cases of enucleation of the tumor,22 cases of central pancreatectomy,33 cases of distal pancreatectomy,22 cases of pancreaticoduodenectomy,1 case of duodenum-preserving pancreatic head and neck resection. Pancreatic fistula occurred in 35 cases（34.3%）. Two cases were treated with a stent in pancreatic duct and the others were cured with non-invasive methods. Biliary fistula occurred in 1 case 12 days after operation and was cured without invasive process. Two cases with postoperative hemorrhage were treated with operations and discharged from hospital with healing. No perioperative death occurred. Conclusion There are so many kinds of surgical techniques for the tumor of neck of pancreas. We should choose a radical, safe surgery and try to preserve the function of pancreas.
出处
《中国实用外科杂志》
CSCD
北大核心
2014年第3期249-251,共3页
Chinese Journal of Practical Surgery
基金
卫生公益性行业科研专项经费资助项目(201202007)
国家自然科学基金资助项目(81170431
81372613
81370565)
高等学校博士学科点专项基金(20122307110012)
关键词
胰腺颈部肿瘤
手术方式
tumor of neck of pancreas
surgical techniques
