论文部分内容阅读
目的 探讨胰十二指肠切除术术前可切除性的评估和手术方法的改进对切除率、并发症发生率、手术死亡率和生存率的影响。方法 阐述壶腹周围癌CT的鉴别诊断与术前手术可切除性的评估的方法 ,以及对壶腹周围癌 ,尤其是胰头癌行胰十二指肠切除术的手术方法的改进。结果 138例壶腹周围癌中 ,行胰十二指肠切除术 98例 ,切除率 71% ,并发症发生率 16 7% ,手术死亡率6 5 %。其中胰头癌 112例 ,行胰十二指肠切除术 72例 ,切除率 6 4% ;胰头癌术后 1、3、5年生存率分别为 70 %、2 5 %和 12 %。结论 术前准确评估手术可切除性 ,不断改进手术方法 ,有利于壶腹周围癌 ,尤其是胰头癌的切除率和生存率的提高 ,并可使并发症发生率和手术的死亡率降低
Objective To evaluate the preoperative resectable resection of pancreaticoduodenectomy and the improvement of surgical methods on the effect of resection rate, complication rate, operative mortality and survival rate. Methods The CT differential diagnosis of the periampullary carcinoma and the evaluation of the resectability of the preoperative surgery, and the improvement of surgical methods for pancreatoduodenectomy of periampullary cancer, especially pancreatic head cancer, were described. Results Among 138 cases of periampullary carcinoma, 98 cases underwent pancreatoduodenectomy. The resection rate was 71%. The complication rate was 167%. The operative mortality was 65%. There were 112 cases of pancreatic head cancer and 72 cases of pancreaticoduodenectomy. The resection rate was 64%. The postoperative survival rates of pancreatic head cancer at 1 year, 3 years and 5 years were 70%, 25%, and 12%, respectively. Conclusion Preoperative evaluation of resectable surgery and continuous improvement of surgical methods are beneficial to the improvement of resection rate and survival rate of periampullary cancer, especially pancreatic cancer, and can reduce the incidence of complications and surgical mortality.