中国普通外科杂志2011，Vol.20Issue(3)：222-226,5.
保留十二指肠的胰头近全切除术治疗胰头部良性肿瘤
Duodenum-preserving near-total pancreatic head resection for benign tumors of the pancreatic head
周建平 1张勇 2董明 1孔凡民 1李昱骥 1田雨霖1
作者信息
- 1. 中国医科大学附属第一医院胃肠胰腺外科,辽宁沈阳110001
- 2. 中国医科大学病理教研室,辽宁沈阳100053
- 折叠
摘要
Abstract
Objective To explore the value of duodenum-preserving near-total pancreatic head resection ( DPNTPHR ) without segmental duodenectomy for treating benign benign tumor of pancreatic head ( BTPH ).Methods The clinical data of 4 patients with BTPH, treated by DPNTPHR from January 2004 to December 2009, were retrospectively analyzed. The operation carried out was near total resection of pancreatic head while preserving the integrity of gastrointestinal tract, extrabepatic bile duct, gallbladder and the sphincter of Oddi. A small amount of pancreatic tissue was left intact around the papilla of Vater and behind the bile duct. Results Histology confirmed one patient had intraductal papillary mucinous neoplasm, one endocrine tumor and two solid pseudopapillary tumors. No mortality occurred in the perioperative period. Pancreatic leakage occurred in two cases and was treated successfully with conservative method. For 8 - 20 months Follow-up, all the 4 patients are no sign of recurrence. Conclusions Duodenum-preserving near-total pancreatic head resection is a proper option for benign tumors in the head of pancreas, especially when pancreatic enucleation is difficult.关键词
胰腺肿瘤/外科学/良性肿瘤,胰头部/保留十二指肠的胰头切除术分类
医药卫生引用本文复制引用
周建平,张勇,董明,孔凡民,李昱骥,田雨霖..保留十二指肠的胰头近全切除术治疗胰头部良性肿瘤[J].中国普通外科杂志,2011,20(3):222-226,5.
