Application of combined pancreaticoduodenectomy in operation for upper abdominal malignant tumor
10.3760/cma.j.issn.1006-9801.2009.12.015
- VernacularTitle:联合胰十二指肠切除术在上腹部恶性肿瘤手术中的应用
- Author:
Xiaogang BI
;
Yonghong DONG
;
Bo DONG
;
Yuhong ZHANG
;
Daguang FAN
- Publication Type:Journal Article
- Keywords:
Abdominal neoplasms;
Pancreaticoduodenectomy
- From:
Cancer Research and Clinic
2009;21(12):840-842
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe the surgical approach and effect on upper abdominal malignant tumor infiltrating pancrea. Methods Thirty patients with upper abdominal malignant tumor infiltrating pancreas or tissue around pancrea were treated by radical resection on primary tumor combined pancreaticoduodenectomy. Results Three patients died in 1 month after operation due to multiple organ failure. The patients with gallbladder cancer and metastatic lymph nodes fixed behind caput pancreatis were followed up averaged 35 months. The patients with gastric antrum carcinoma infiltrating caput pancreatis were followed up averaged 31 months. The patients with recurrent gastric cancer infiltrating caput pancreatis were followed up averaged 13 months. The patients with pancreatic and duodenal invasion by cancer of hepatic flexure of colon were followed up averaged 41 months. The patients with hilar cholangiocarcinoma and metastatic lymph nodes fixed behind caput pancreatis were followed up averaged 11 months. Conclusion The patients with upper abdominal malignant tumor infiltrating pancreas should be operated by radical resection on primary tumor combined pancreaticoduodenectomy, which can increase the rate of tumor resection, and be expected to prolong the survival period.
