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目的探讨联合切除血管和重建的胰腺癌根治术的适应证和方法。方法对近年来所施行的区域性胰腺切除术、标准胰十二指肠切除术联合肠系膜上静脉切除治疗的7例胰腺癌作一回顾性分析。结果2例行区域性胰腺切除术,其中1例联合切除肝动脉,血管端-端吻合,1例联合切除肠系膜上动脉、肠系膜上静脉,行血管间置移植术;5例行标准胰十二指肠切除术,联合肠系膜上静脉切除血管间置移植术。随访8～60个月,情况良好,无胰腺癌复发,彩超和CT显示移植人造血管通畅。结论在严格选择的病例中可施行联合切除血管的胰腺癌根治术。
Objective To investigate the indications and methods of combined resection of blood vessels and reconstruction of pancreatic cancer. Methods A retrospective analysis of 7 cases of pancreatic cancer treated by regional pancreatectomy, standard pancreatoduodenectomy combined with superior mesenteric vein excision in recent years was performed. Results 2 cases underwent regional pancreatectomy, including 1 case of hepatic artery resection, end-to-end vascular anastomosis, 1 case of combined superior mesenteric artery and superior mesenteric vein, and 5 cases of standard pancreaticoduodenectomy Ileotomy, combined with superior mesenteric vein resection vascular graft. Follow-up 8 to 60 months, in good condition, no recurrence of pancreatic cancer, color Doppler ultrasound and CT showed graft graft patency. Conclusions Radical resection of the pancreas in combination with resection of the blood vessels can be performed in strictly selected cases.