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目的:总结胆胰结合部切除治疗壶腹周围癌的临床疗效。方法:7例壶腹周围癌行十二指肠降部切除、胆总管及部分胰头组织及区域淋巴结清扫,术后定期随访,进行临床评估;结果:7例手术均顺利完成,术后无肠、胰、胆瘘及继发出血等严重并发症,痊愈出院。术后随访1个月至30月不等,其中1例术后一年颅内转移衰竭死亡,其余6例至今健在。结论:胆胰结合部切除术治疗壶腹癌具有损伤小,根治率高,疗效确切,值得临床推广。
Objective: To summarize the clinical efficacy of biliary and pancreas combined resection in the treatment of periampullary carcinoma. METHODS: Seven cases of periampullary carcinoma were performed with descending duodenal resection, common bile duct and some pancreatic head tissues, and regional lymph node dissection. The patients were followed up periodically for clinical evaluation. Results: All 7 cases were successfully completed. Severe complications such as gut, pancreas, gallbladder and subsequent blood discharge were cured and discharged. The follow-up period ranged from 1 month to 30 months. One patient died of intracranial metastasis within one year and the remaining 6 patients survived. Conclusion: The biliary-pancreatic junction resection for ampullary carcinoma has the advantages of little injury, high cure rate and definite curative effect. It is worthy of clinical promotion.