胰腺体尾部腺癌的临床分析（附42例报告）

目的 总结胰腺体尾部腺癌的外科治疗经验，探讨胰腺体尾部腺癌的外科疗效。方法 对1987～1998年间收治的42例有病理证实的胰腺体尾部腺癌病人进行回顾性临床分析。结果 42例中，30例行探查手术，12例切除病变的胰腺，手术切除率40%，总切除率28.6%，术后30d死亡率为0 。切除术后9例存活达12.0个月，5例存活24.0个月，其中有4例仍存活，2例存活36.0个月。未能手术切除者平均生存期4.4个月（1.2～10.5个月）。结论 胰腺体尾部腺癌的预后极差，5年生存率很低，但手术切除病变的胰腺可显著延长病人的生存期，特别是对于病变尚属限于胰腺体尾部的患者。

Clinical analysis of adenocarcinoma of pancreatic body and tail in 42 cases

Objective To summarize experience in surgical management of adenocarcinoma of the pancreatic body and tail and investigate therapeutic effects of the management. Methods The data of 42 cases of adenocarcinoma of the pancreatic body and tail treated in our department from 1987 to 1998 were retrospectively analyzed. Results Of the 42 patients, 30 were subjected to an exploratory operation. Out of the 30 patients, 12 received resection of lesions (resecting rate=40%). Among these 12, 9 survived for 1 year, 5 for 2 years and 2 for 3 years after the resection. All those patients with non-resectable tumors had a mean survival time of 4.4 months (1.2-10.5 months). Conclusions As expected, the prognosis of adenocarcinoma of the pancreatic body and tail is poor and the 5-year survival rate in patients is very low. However, resection of the pancreas can significantly incrase the survival time of patients, especially those with the tumor limited to the gland.