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目的 探讨胰腺癌根治性手术中肿瘤侵犯门静脉的处理方法 ,以提高胰腺癌的手术切除率。方法 回顾分析 1995年 5月至 1998年 12月合并门静脉切除的胰腺癌根治术 9例临床资料 ,6例用人工血管修复门静脉 ,2例行门静脉对端吻合 ,1例行门静脉修补。结果 围手术期死亡 1例 ,死亡率为 11.1% ( 1/9) ,并发症 3例 ,发生率为 3 3 .3 % ( 3 /9) ,术后平均生存时间为 13 .2个月。结论 对于侵犯门静脉而无远处转移的胰腺癌 ,行根治术合并门静脉切除与修复可提高手术切除率、延长病人的生存时间。
Objective To investigate the treatment of tumor invasion of portal vein in radical surgery of pancreatic cancer so as to improve the surgical resection rate of pancreatic cancer. Methods The clinical data of 9 cases with pancreatic cancer resected by portal vein from May 1995 to December 1998 were retrospectively analyzed. Six cases were repaired with artificial blood vessels, two cases received portal vein anastomosis and one case received portal vein repair. Results Perioperative mortality was 1 case, the mortality rate was 11.1% (1/9), complication in 3 cases, the incidence rate was 33.3% (3/9), and the average postoperative survival time was 13.2 months. Conclusion For the invasion of portal vein without distant metastasis of pancreatic cancer, radical resection combined with portal vein resection and repair can improve the surgical resection rate and prolong the survival time of patients.