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目的 探讨十二指肠乳头癌局部切除术后发生并发症的原因及处理方法。方法 对 18例十二指肠乳头癌病人行十二指肠乳头局部切除术 ,就其术后的并发症 :十二指肠梗阻、胆漏、胰漏、十二指肠漏、腹腔出血及腹腔感染作了详细的分析。结果 术后并发症发生率为 44 4% (8/18) ,手术后并发症的病死率为 11 1% (2 /18) ,并发症的发生率较国内外报道高 ,但较胰十二指肠切除术的并发症发生率低。结论 十二指肠乳头癌局部切除术是一种治疗十二指肠乳头癌的手术方法 ,但必须严格掌握其手术适应证 ,手术后的并发症发生与术中胰胆管的处理及十二指肠的切开及缝合方法有关
Objective To investigate the causes and treatment of complications after partial resection of duodenal papillary carcinoma. Methods 18 cases of duodenal papillary carcinoma patients underwent partial duodenal papilla resection, its postoperative complications: duodenal obstruction, bile leakage, pancreatic leakage, duodenal leakage, intra-abdominal bleeding and Abdominal infection made a detailed analysis. Results The incidence of postoperative complications was 44.4% (8/18). The postoperative mortality rate was 11.1% (2/18). The incidence of complications was higher than that reported at home and abroad, The incidence of complications of bowel resection is low. Conclusion Local resection of the duodenal papilla carcinoma is a surgical method for the treatment of duodenal papillary carcinoma. However, it is necessary to strictly control the indications for its operation, the postoperative complications and the treatment of pancreaticobiliary ducts and the twelve fingers Intestinal incision and suture methods