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H_2受体拮抗剂的出现改变了胃泌素瘤的手术处理,强力的抑制分泌药物能控制多数胃泌素瘤病人,从而减少了全胃切除术的需要,近来认为手术切除胃泌素瘤可治愈部份病人或提高以后的药物疗效.由此临床上要求一种手术途径能正确定位全部肿瘤.作者设计一种术时肿瘤的定位方法,在该解剖区域内得以迅速、简单、安全地进行探查和切除所有肿瘤.技术上腹正中切口,经大、小网膜囊及Kcoker切口游离胰头,经后腹膜切口游离胰体尾,这一操作使能进入胃泌素瘤和转移淋巴结好发部位的解剖三角区;其上角为胆囊管与胆总管交接处,下角为十二指
The appearance of H2 receptor antagonists has changed the surgical treatment of gastrinoma. The strong inhibition of secretion of drugs can control the majority of patients with gastrinoma, thus reducing the need for total gastrectomy. Recently, it is believed that surgical removal of gastrinoma can be Cure some patients or improve the efficacy of subsequent drugs. This requires a clinical approach to the correct positioning of all tumors. The authors designed a tumor positioning method during surgery, in the anatomical area can be quickly, simply and safely Explore and remove all tumors. Technically incise the midline incision, free the pancreas through the large and small omental sac and Kcoker incision, and free the pancreatic body through the posterior peritoneum incision. This procedure enables access to gastrinoma and metastatic lymph nodes. The anatomical triangle of the site; the upper corner is the junction of the cystic duct and common bile duct, and the lower corner is twelve fingers.