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本文报告了89例胰头癌行胰十二指肠切除术的患者,术后住院死亡8例,死亡率为9%。作者分析了其余81例出院的患者,以期能找到影响长期生存的因素。81例患者中,男41例,女40例,平均年龄62岁。白人65例,黑人16例。平均手术时间7.5小时,估计平均失血量1000 ml。44例行传统的胰十二指肠切除术(包括1例胃窦切除术);37例行保留幽门的胰十二指肠切除术。69例行部分胰腺切除术;12例行全胰腺切除术。从切除的标本测定,29例肿瘤直径≤2 cm,52例>
This article reports 89 pancreatoduodenectomy patients with pancreatic head cancer. 8 patients were hospitalized for postoperative death and the mortality rate was 9%. The author analyzed the remaining 81 patients who were discharged from the hospital in order to find out the factors that affect long-term survival. Of the 81 patients, 41 were males and 40 were females, with an average age of 62 years. There were 65 whites and 16 blacks. The average operation time was 7.5 hours and the average blood loss was estimated to be 1000 ml. 44 patients underwent conventional pancreaticoduodenectomy (including 1 gastric antral resection); 37 patients underwent pancreatoduodenectomy with pylorus preservation. 69 patients underwent partial pancreatectomy; 12 underwent total pancreatectomy. From the specimens removed, 29 patients had a tumor diameter of ≤2 cm and 52 patients>