Retrospective study on surgical treatment of progressive pancreatic head cancer with metastasis of portal vein and liver
10.3760/cma.j.issn.1008-6315.2009.08.034
- VernacularTitle:进展期胰头癌并门静脉及肝转移外科治疗回顾性研究
- Author:
Hongshi XIANG
;
Deyuan GUAN
;
Yun LI
;
Shiwen LI
;
Zhengyong FENG
;
Fuyi FANG
;
Zhigang WANG
;
Bo DENG
;
Li LAN
;
Hongrong SUN
- Publication Type:Journal Article
- Keywords:
Pancreatic head cancer;
Metastasis of portal vein and liver;
Surgical treatment
- From:Clinical Medicine of China
2009;25(8):863-866
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospeetivley explore the expanded radicM resectable range and improved Surgical approach of the progressive pancreatic head cancer with metastasis of portal vein(PV) and liver,and try to improve the resectable rate.survival rate and quality of life.Methods The patients witll late pancreatic cancer sis of partial PV resection and 8 cases of left leaf or right leaf sectional hepatectomy partial were involved in 27 cases,reconstructed gastrointestinal tract with improved Whipple interposed Y-type jejunostomy and PV.27 cases were randomly divided into intervention chemotherapy of treatment groups(n=13) and control groups(n=14).Results Severe complications or dead cases were not found in 27 cases after operation.The 2-,3-,5-years survival rates were 61.5%,38.4%,23.0%,and 42.8%,21.4%,14.3% in treatment group and control group,respectively.The survival rate was statistically different(P<0.05).Conclusions The expanded radical pancreatoduodenectomy and its improved surgical approach can improve not only the survival rate but also the quality of life.
