胰腺癌和壶腹癌的术式选择（附40例报告）

报道了我院１０ａ来收治的４０例胰腺癌和壶腹癌，依据病情选择不同术式的治疗结果。其中胰十二指肠切除８例；全胰切除、胰腺体尾部切除各１例；胆道旁路引流术２６例；剖腹探查４例。全组共施行６种旁路术，术后存活９～１５个月。术前减黄患者术后死亡率和并发症均明显下降（Ｐ＜０．０５）。提示对不同病情的患者，应采用不同术式，以提高其术后生存质量与时间。

Selection of surgical approches for pancreatic and ampullary carcinomas

This article reports on the results of various surgical approches for treating 40 cases of pancreatic and ampullary carcinomas in 10 years in our hospital. Of them 8 cases were treated by pancreatoduodenectomy,1 by total pancreatectomy, 1 by resection of the body and tail of pancreas, 26 by by-pass drainage of biliary tract and 4 by exploratory laparotomy. In this group 6 types of by-pass drainage of biliary tract were practised, and the survival time was from 9 to 15 months after the drainage. It was found that the fatality rate and complication incidence were significantly lower in the cases with reduced jaundice before opration than those in the cases without reduced jaundice. It is indicated that surgical approaches varying with the individual condition of patients with pancreatic and ampullary carcinomas can prolong their survival time and improve their quality of life.