| 整块切除含肠系膜上静脉—门静脉的胰十二指肠治疗Ⅱ,Ⅲ期胰头… |
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| 引用本文： | 曾天定,郑樟栋.整块切除含肠系膜上静脉—门静脉的胰十二指肠治疗Ⅱ,Ⅲ期胰头…[J].中华外科杂志,1997,35(3):144-146. |
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| 作者姓名： | 曾天定 郑樟栋 |
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| 作者单位： | 金华市中心医院 |
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| 摘 要： | 作者在１９８９￣１９９５年间收治的２８例Ⅱ、Ⅲ期胰头癌患者中，对肿瘤侵及肠系膜上静脉－门静脉，难以采用标准的胰十二指肠切除术的１５例施行了含ＳＭＰＶ在内的胰十二指肠整块切除。术后并发症发生率５３．３％，无围手术期死亡。随访１４例中已死亡７例，中位生存期１７．１个月，与在此以前因癌种侵及ＳＭＰＶ而放弃根治切除１７例的中位生存期３．８个月进行比较，两组生存期有显著差异（ｔ＝８．０１，Ｐ〈０．００１）。
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| 关 键 词： | 胰腺肿瘤 胰头十二指肠 切除术 SMPV |
En bloc vein resection in the treatment of pancreatic tumors adherent to the superior mesenteric-portal vein confluence] |
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| T Zeng,Z Zheng,K Chen.En bloc vein resection in the treatment of pancreatic tumors adherent to the superior mesenteric-portal vein confluence][J].Chinese Journal of Surgery,1997,35(3):144-146. |
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| Authors: | T Zeng Z Zheng K Chen |
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| Institution: | Jinhua Municipal Central Hospital, Zhejiang Medical University. |
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| Abstract: | Contraindication is often considered to pancreaticoduodenectomy for patients with malignant tumors of the pancreatic head. From 1989 through 1995, 15 patients with tumors of the pancreatic head adherent to the superior mesenteric-portal vein confluence (SMPV) underwent pancreaticoduodenectomy with en bloc resection of SMPV. There was no perioperative mortality. Follow-up data showed a mean survival of 17.1 months among 7 deaths, which was significantly longer than an average of 3.8 months among previous 17 patients who abandoned radical resection (P < 0.001). We consider that pancreaticoduodenectomy with en bloc resection of SMPV is feasible in some cases. |
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