中国实用外科杂志2017,Vol.37Issue(6):668-671,4.DOI:10.19538/j.cjps.issn1005-2208.2017.06.18
巨大腹膜后肿物切除联合胰十二指肠切除10例诊治分析
Pancreaticduodenectomy for large retroperitoneal tumor resection: An analysis of 10 cases
钱红纲 1李成鹏 1吴剑挥 1丘辉 1郝纯毅1
作者信息
- 1. 恶性肿瘤发病机制及转化研究教育部重点实验室北京大学肿瘤医院暨北京市肿瘤防治研究所软组织与腹膜后肿瘤中心,北京100142
- 折叠
摘要
Abstract
Objective To investigate the feasibilities and safeties of pancreaticduodenectomy for the surgical treatment of large retroperitoneal tumors.Methods The clinical data of 10 consecutive cases of large retroperitoneal tumors performed pancreaticduodenectomy at Soft Tissue and Retroperitoneal Tumor Center of Peking University Cancer Hospital between September 2015 and October 2016 were analyzed retrospectively.Surgical complication and perioperative outcome were summarized.Results All tumors were resected completely.Operations lasted for 360 to 1020 min.The blood loss was 400 to 6000mL.Pancreaticduodenectomy and partial colectomy were performed in all 10 patients,combined with 6 cases of large vessels resection and replacement,5 cases of right nephrectomy and adrenalectomy,5 cases of diaphragm partial resection and repair,4 cases of hepatectomy.Two cases were observed with ISGPF Grade B pancreatic fistula and 2 cases with complication of Clavien-Dindo Ⅲ a and V,respectively.No patient died of complications during perioperative period.Conclusion Pancreaticduodenectomy is safe and feasible in resection of large retroperitoneal tumors.关键词
腹膜后肿瘤/胰十二指肠切除术/手术安全性Key words
retroperitoneal tumor/pancreaticduodectomy/safety of operation分类
医药卫生引用本文复制引用
钱红纲,李成鹏,吴剑挥,丘辉,郝纯毅..巨大腹膜后肿物切除联合胰十二指肠切除10例诊治分析[J].中国实用外科杂志,2017,37(6):668-671,4.