胰腺体尾部肿瘤的术式选择

目的探讨不同类型胰腺体尾部肿瘤手术方式的选择。方法回顾性分析我院2003年1月至2008年12月收治的25例胰腺体尾部肿瘤的临床资料。结果 25例中男16例,女9例。上腹饱胀不适及腰背部疼痛为最主要的症状。25例患者均行手术治疗,其中行胰体尾+脾+胃部分切除1例,胰体尾切除+脾切除9例,保留脾脏的胰体尾切除3例,胰腺节段切除3例,肿物局部切除1例,其余行肿瘤活检术。结论对胰腺体尾部肿瘤,应采取个体化的手术方式。恶性肿瘤强调根治性,良性肿瘤则应强调保护周围脏器和胰腺功能。

Operation types for tumors of the pancreatic body and tail

Objective To explore the operation types for different types of tumors of pancreatic body and tail.Methods The clinical data of 25 patients in our hospital with tumors of pancreatic body and tail from January 2003 to December 2008 were analyzed retrospectively.Results There were 16 males and 9 females in these patients.Among them,abdominal distension,lumbago and notalgia were the most common clinical symptoms.All the patients received surgical treatments including 1 case of distal pancreas,spleen and partial stomach resection,9 cases of distal pancreas and spleen resection,3 cases of spleen-preserving distal pancreatectomy,3 cases of segmental pancreatectomy,1 case of tumor local resection,and 8 cases of tumor biopsy.Conclusions It is very important to select an individual surgical treatment for each tumor of the pancreatic body and tail.For malignant tumors,radical cure is the most important thing;while for benign tumors,saving the pancreas function and peripheral organs should be above other considerations.