中国实用外科杂志2009，Vol.29Issue(8)：655-658,4.
联合腹腔干切除在胰体尾癌扩大根治术中的应用
Application of combining resection of the celiac axis in extended distal pancreatectomy for pancreatic body-tail carcinoma
彭承宏 1吴旭波 1雷若庆 1程东峰 1沈柏用 1吴卫泽 1王建承1
作者信息
- 1. 上海交通大学医学院附属瑞金医院普外科,上海,200025
- 折叠
摘要
Abstract
Objective To discuss the application and effect of distal pancreatectomy combined with resection of the celiac axis(CA) for pancreatic body-tail carcinoma. Methods Retrospective analysis the data of 10 patients received pancreatectomy combined with resection of the CA in Rui Jin Hospital affiliated to Shanghai Jiao Tong University School of Medicine from January, 2003 to December, 2007. Results The average age is (57.7±6.9) years, the average size of the tumor is (5.0±1.3) cm, the median operation time is 320 (225～420) min and the median operative blood loss is 900 (500～1500)mL. 3 patients had been performed with CHA reconstruction. There were 4 patients had postoperative complications, including pancreatic fistula, chylous fistula, celiac effusion and infection. One of them died at the 55th day postoperatively. Hepatic dysfunction occured in 5 patients. After operation, the average days in hospital were (28.8±13.6) days and the median survival time was 15 months except the died paitent. All patients have had mild diarrhea after surgery(< 5 times/day) and could relieve in 2～6 months. 6 patients suffered with abdominal and/or back pain before operation, and 5 of them had achieved relief through operation. Conclusion Distal pancreatectomy combined with CA resection for pancreatic body-tail carcinoma is a viable and safe mode. It can improve the survival time and life quality.关键词
腹腔干切除/胰体尾癌/根治性切除Key words
resection of the celiac axis/ pancreatic body-tail carcinoma/ radical resection分类
医药卫生引用本文复制引用
彭承宏,吴旭波,雷若庆,程东峰,沈柏用,吴卫泽,王建承..联合腹腔干切除在胰体尾癌扩大根治术中的应用[J].中国实用外科杂志,2009,29(8):655-658,4.
