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| 胰外来源肿瘤的复杂胰十二指肠切除术 | |
| 引用本文： | 焦作义,;张冬红,;罗长江,;俞泽元,;毛杰,;寇治民,;李玉民. 胰外来源肿瘤的复杂胰十二指肠切除术[J]. 消化外科, 2014, 0(9): 743-746 |
| 作者姓名： | 焦作义, 张冬红, 罗长江, 俞泽元, 毛杰, 寇治民, 李玉民 |
| 作者单位： | [1]兰州大学第二医院普通外科一科,730030; [2]甘肃省消化系肿瘤重点实验室,730030; |
| 摘 要： | 部分局部晚期肿瘤常累及腹部多个器官,伴有消化道梗阻,而无远处转移.部分此类患者可通过实施Ro切除,理论上有获得长期生存的可能.部分患者可通过R1切除,配合术后综合治疗,可达到解除消化道梗阻、减轻疼痛、延长生存时间的目的.将联合器官切除的复杂胰十二指肠切除术应用于胰外来源肿瘤（如局部晚期胃远端癌、结肠肝曲癌、胆囊癌及胆管癌）的手术治疗,能使部分患者获得Ro切除和术后的长期生存,部分患者术后生命质量明显改善,生存时间显著延长. |
| 关 键 词： | 胃肿瘤 结肠肿瘤 胆道肿瘤 胰十二指肠切除术 |
Complex pancreaticoduodenectomy for tumors from digestive tract except pancreas |
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| Affiliation: | Jiao Zuoyi, Zhang Donghong, Luo Changjiang, Yu Zeyuan, Mao Jie, Kou Zhimin, Li Yumin (First Department of General Surgery, Second Hospital of Lanzhou University, Lanzhou 730030, China) |
| Abstract: | Some locally advanced tumors involving multiple abdominal organs without distal metastasis may cause digestive tract obstruction.Some of these patients can achieve long-term survival after Ro resection,others can obtain digestive tract obstruction relief,pain anesis and survival prolongation after R1 resection combined with postoperative comprehensive treatment.In this review,the efficacy of complex pancreaticoduodenectomy combined with organs resection was introduced based on reviewing the literatures.After the surgery,some patients achieved R0 resection and long-term survival,and the quality of life was significantly improved in some patients. |
| Keywords: | Gastric neoplasms Colonic neoplasms Biliary neoplasms Pancreaticoduodenectomy |
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