壶腹周围癌手术治疗53例分析

目的探讨壶腹周围癌手术治疗的效果。方法，回顾性分析53例施行手术的情况。根治性切除术24例中，胰十二指肠切除术23例，保留幽门的胰十二指肠切除术1例；施行姑息性手术29例。结果根治性切除术24例中，围手术期死亡2例（8．3％），无手术死亡。术后出现并发症的有15例，其中胰漏5例。平均住院时间26d。结论手术技术的不断改进以及充分的围手术期处理是提高手术治疗效果的关键。

Analysis of the operational treatment of 53 cases for periampullary carcinoma

Objective To investigate the effect of the operational treatment for periampullary carcinoma.Methods The data of 53 operative patients were retrospectively analyzed. Among the 24radical operations, PD was performed in 23 cases ,PPPD in 1 ;the palliative operation was performed in 29 cases. Results Among the 24 radical operaions, the overall mortality was 8.3% (2/24), no operational death. The postoperative morbidity was 15 cases,including 5 cases of pancreatic fistula. Median length of hospital stay was 26 days. Conclusion Continual improvement of operative technique and sufficient perioperative management were the keys to increasing the effect of the operational treatment.