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本文报道1956～1977年间经手术及病理证实的壶腹周围癌168例(壶腹癌46例、胰头癌121例及胆总管下段癌1例)。其中53例施行胰、十二指肠切除术,手术死亡4例,随访到的34例中,有10例术后生存5年以上。作者认为,上腹部闷胀、隐痛、胀痛伴食欲不振是先于黄疸的早期症状,胰、十二指肠切除术在目前仍为治疗本病的有效方法,Child 氏胰空肠端端套入吻合术可降低胰瘘发生率。
This paper reports 168 cases of periampullary cancer confirmed by surgery and pathology from 1956 to 1977 (46 cases of ampullary carcinoma, 121 cases of pancreatic head cancer, and 1 case of lower common bile duct carcinoma). Among them, 53 patients underwent pancreatic and duodenal resection and 4 died after surgery. Of the 34 patients followed up, 10 survived after 5 years. The author believes that the upper abdomen is full of stuffiness, pain, pain and loss of appetite is the early symptoms of jaundice, pancreatic and duodenal resection is still an effective method to treat this disease, Child’s pancreatic jejunum Anastomosis can reduce the incidence of pancreatic fistula.