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报道112例胰腺癌的外科治疗,胰头十二指肠切除24例,胰空肠端套入式child’s法吻合22例,其中6例胰空肠吻合施行改良的脉管反套缝合法,2例保留幽门;采用主胰管插管、TH胶栓塞、胆总管空肠胃吻合2例。胰体尾部切除2例。姑息手术86例。手术切除组无胰、胆瘘发生,随访生存6~38个月,平均为12个月,3年生存率为7.69%(2/26)。姑息手术组,死亡6例,死亡率为6.98%,生存2~11个半月,平均为5个半月。
Surgical treatment of 112 cases of pancreatic cancer, 24 cases of pancreatic head and duodenal resection, and 22 cases of pancreatic jejunal end nested child’s method were reported. Among them, 6 cases of pancreatic jejunostomy were treated with modified vascular suture and 2 cases were preserved. Pyloric; using main pancreatic duct cannulation, TH plastic plug, common bile duct empty gastroenteric anastomosis in 2 cases. Twenty-two cases of pancreatic body and tail were removed. Palliative surgery in 86 cases. No pancreatic and biliary fistula occurred in the surgical resection group. The follow-up survival ranged from 6 to 38 months, with an average of 12 months. The 3-year survival rate was 7.69% (2/26). In the palliative surgery group, 6 deaths were reported, with a mortality rate of 6.98% and survival of 2 to 11 months and a half with an average of 5 and a half months.