摘要
目的评价胰腺癌根治术联合血管切除重建的效果。方法对186例行胰腺癌根治术的患者的临床资料和治疗效果进行回顾性分析。根据是否应用了血管切除重建分成三组,无血管切除重建组(n=120)、联合静脉切除重建组(n=60)、联合动脉切除重建组(n=6)。比较三组的手术情况、生存情况和术后并发症发生率。结果三组的手术时间与手术出血量组间两两比较,差异均具有统计学意义(P<0.05);联合动脉切除重建组并发症总发生率最高(P<0.05);三组患者术中均未出现死亡病例。三组患者的中位生存时间比较,无显著差异(P>0.05)。结论胰腺癌根治术联合动脉切除重建的出血量较多、手术时间较长、并发症发生率高,临床在行腺根治术联合血管切除重建前必须充分把握手术指证。
Objective To evaluate the effect of radical resection of pancreatic cancer combined with vascular resection and reconstruction. Methods The clinical data and therapeutic effects of 186 cases of patients with pancreatic cancer treated were analyzed retrospectively, 186 cases of patients were divided into no vascular resection group （120 cases）, joint vein resection and reconstruction group （60 cases）, joint artery resection and reconstruction （6 cases） according to whether the vascular resection and reconstruction was applied. The operation situation, survival situation and the incidence of postoperative complications were compared between the three groups. Results The differences in the operation time and the operation bleeding among the three groups were statistically significant （P〈0.05）, the incidence of the total complication in the joint artery resection and reconstruction group was highest （P〈0.05）. No deaths occurred in the three groups during the operation. There was no significant difference in the median survival time among the three groups （P〉0.05）. Conclusion Radical resection of pancreatic cancer combined with artery resection and reconstruction had more bleeding, longer operation time, higher complication rate, surgical indications must be fully considered before the radical prostatectomy combined with vascular resection and reconstruction.
出处
《临床医学研究与实践》
2017年第24期70-71,共2页
Clinical Research and Practice
关键词
胰腺癌根治术
血管切除重建
中位生存时间
radical resection of pancreatic cancer： vascular resection and reconstruction： median survival time
