壶腹周围癌因肿瘤向周围侵犯、转移、粘连或肝功能严重损害等致手术难以切除,仅行内引流术虽解决了梗阻性黄疸问题,但疗效尚难令人满意。我院自1985年6月至1989年11月,对11例不能行Whipple手术的患者采用总胆管空肠Roux-Y吻合,并经胃网膜右动脉插管至胰十二指肠上动脉开口区,术后经此管注入抗癌药物,效果满意,报道如下,供同道参考。 Periampullary cancer is difficult to remove due to tumor invasion, metastasis, adhesion, or severe liver function damage. Although only internal drainage has resolved obstructive jaundice, the efficacy is still unsatisfactory. In our hospital from June 1985 to November 1989, Roux-Y anastomosis of the common bile duct jejunum was performed in 11 patients who could not undergo Whipple surgery, and the right gastroepiploic artery was inserted into the open area of ​​the superior pancreaticoduodenal artery. After the injection of anti-cancer drugs through this tube, the results were satisfactory. The report is as follows for reference.