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目的探讨十二指肠乳头肿瘤局部切除术的临床实际可行性。方法结合国内外文献,回顾性分析42例十二指肠乳头肿瘤局部切除的临床资料及随访结果。结果42例十二指肠乳头肿瘤局部切除术的2、5年生存率分别为63.4%和14.6%,手术并发症发生率为11.9%。结论严格掌握适应证,局部切除术对十二指肠乳头肿瘤是一种安全而较有效的可选择术式,对大于3cm的肿瘤采用局部切除应慎重。
Objective To investigate the clinical feasibility of local resection of duodenal papilla tumor. Methods Combined with the literature at home and abroad, the clinical data and follow-up results of 42 cases of local excision of duodenal papilla were retrospectively analyzed. Results The 2 and 5 year survival rates of partial resection in 42 cases of duodenal papillary tumors were 63.4% and 14.6%, respectively. The incidence of surgical complications was 11.9%. Conclusion Strict indications, partial resection of duodenal papillary tumors is a safe and effective alternative surgical approach, the use of more than 3cm tumor resection should be careful.