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目的 探讨联合切除血管和重建的胰腺癌根治术的适应征和方法。方法 对上来所放行的区域性胰腺切除术，标准胰十二指肠切除术联合肠系膜上静脉切除的７例胰腺癌作一回顾性分析。结果 ２例行区域性胰腺切除术，其中１例联合切除肝动脉，血管端－端吻合，１例联合切作肠系膜上动脉、肠系膜上静脉，行血管间置移植术；５例行标准胰十二指肠切除术，联合肠系膜上静脉切除血管同置移植术。随访８～６０个月，情况良好，无胰腺癌复发，彩

Radical surgery for treatment of pancreatic cancer combined with vessel reconstruction(report of 7 cases).

Objective To explore the indication and method in treatment of pancreatic cancer using pancreatectomy combined resection and reconstruction of blood vessel.Methods We did a retrospective study on the management of 7 cases of pancreatic cancer using regional pancreatectomy(RP) and pancreaticoduodenectomy combined resection of superior mesenteric-portal vein(SMPV) in recent years.Results RP was done in 2 cases,one of which received the resection of the hepatic artery followed by end to end anastomosis,another received resection of the superior mesenteric vein and superior mesenteric artery,revascularization was done by means of Dacron graft;pancreaticoduodenectomy combined resection of superior mesenteric-portal vein was done in other 5 cases,sutured by means of a Dacron graft.Follow-up was carried out,computed tomography(CT) images and color ultrasonic images proved a fully patent graft 8-60 months after operation and no recurrence.Conclusion The treatment that was regional pancreatectomy(RP) and pancreatectomy combined resection of blood vessel can be done in carefully selected patients with pancreatic cancer.