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1994年4月至1996年9月,我们采用门静脉切除、人造血管移植的办法,根治了3例胰腺癌累及门静脉病例,现报告如下。一、临床资料例1 女,60岁。右上腹肿块渐增大10月余,入院后体格检查:右上腹可扪及7cm×8cm 肿块,质硬。经各种检查拟诊胰头癌。术中见胰头下缘肿物约10cm×10cm×6cm,与十二指肠致密粘连、门静脉及肠系膜上静脉被癌灶包裹,未侵及肠系膜上动脉(SMA)。将癌灶连同胰头部、十二指肠、部分空肠、部分门静脉及肠系膜上静脉(SMV)整块切除。门静脉及 SMV 切
From April 1994 to September 1996, we used portal vein resection and artificial blood vessel transplantation to cure 3 cases of pancreatic cancer involving the portal vein. The report is as follows. I. Clinical data Example 1 Female, 60 years old. The right upper abdominal mass gradually increased more than 10 months, physical examination after admission: the right upper abdomen can be paralyzed and 7cm × 8cm mass, hard. The diagnosis of pancreatic head cancer is considered through various examinations. During the operation, the lower pancreatic head mass was approximately 10cm×10cm×6cm. The dense adhesion with the duodenum, the portal vein, and the superior mesenteric vein were entrapped in the lesion and did not invade the superior mesenteric artery (SMA). The foci with the pancreatic head, duodenum, part of the jejunum, part of the portal vein and superior mesenteric vein (SMV) whole block. Portal vein and SMV cut