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胰岛素癌的治疗中最重要的内容之一是术前和术中准确地行肿瘤定位。10年期间,作者前谵性地对40例中的35例患器质性胰岛素分泌亢进的病人,采用经肝门静脉取血(THPVS)法行肿瘤定位。病人平均年龄43±15.9岁,男女性别比为18∶22。定位后即手术切除肿瘤,术后低血糖血症均获纠正。术中行全胰腺探查。首先探查胰头前包膜,以Kocher法游离胰头。采用双手们诊法探查胰头及钩突部,继而探查胰腺颈、体和尾部。打开小网膜囊,沿胰尾边缘切开
One of the most important aspects of the treatment of insulin cancer is the accurate positioning of the tumor before and during surgery. During the 10-year period, the authors used a hepatic portal vein thrombectomy (THPVS) method to perform tumor localization on 35 of 40 patients suffering from hyperthyroidism. The average age of the patients was 43±15.9 years, with a sex ratio of 18:22. After surgery, the tumors were surgically removed and postoperative hypoglycemia was corrected. Intraoperative line pancreas exploration. The head of the pancreas was first explored and the head of the pancreas was freed by the Kocher method. The pancreatic head and hook protuberances were probed with both hands and the neck, body and tail of the pancreas were probed. Open the small omental sac and cut along the edge of the pancreas