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胰头良性病变的外科治疗

迟永兴 周建平 董明 李昱骥 孔凡民 田雨霖

中国实用外科杂志2011,Vol.31Issue(5):432-434,3.
中国实用外科杂志2011,Vol.31Issue(5):432-434,3.

胰头良性病变的外科治疗

Surgical treatment of benign lesions of head of the pancreas: a report of 22 cases

迟永兴 1周建平 1董明 1李昱骥 1孔凡民 1田雨霖1

作者信息

  • 1. 中国医科大学附属第一医院普通外科教研室胃肠外科,辽宁沈阳,110001
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摘要

Abstract

Objective To investigate surgical option of benign lesions of head of the pancreas. Methods The clinical data of 22 cases of benign lesions of head of the pancreas performed surgery from August 1995 to August 2009 at the First Hospital of China Medical University were analyzed. Results The pathological diagnosis included solid-pseudopapillary tumor in 5 cases, serous cystadenoma in 5 cases, mucinous cystadenoma in 4 cases, chronic pancreatitis in 3 cases, nonfunctional islet-cell tumor in 3 cases, intraductal papillary mucinous tumor in 1 case and gastrinoma in 1 case.The operation procedures included pancreatoduodenectomy (PD) in 10 cases, duodenum-preserving pancreatic head resection(DPPHR) in 7 cases and enucleation in 5 cases. Pancreatic leakage was occurred in 3 out of 10 cases with PD, 1 out of 7 cases with DPPHR, and 3 out of 5 cases with enucleation. Twenty cases were followed up with 18 cases alive and 2 cases dying of unrelated diseases. Conclusion For benign lesions of head of the pancreas, DPPHR or enucleation is the reasonable surgical option.

关键词

胰腺/良性病变/保留十二指肠的胰头切除术

Key words

pancreas/ benign lesions/ duodenum-preserving pancreatic head resection

分类

医药卫生

引用本文复制引用

迟永兴,周建平,董明,李昱骥,孔凡民,田雨霖..胰头良性病变的外科治疗[J].中国实用外科杂志,2011,31(5):432-434,3.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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