Pancreatic head resection with second-portion duodenectomy for the treatment of periampullary neoplasms
- VernacularTitle:胰头及十二指肠第二段切除术治疗壶腹周围肿瘤四例
- Author:
Zhaoyang LU
;
Hongchi JIANG
;
Bei SUN
;
Qinghui MENG
;
Hongtao TAN
- Publication Type:Journal Article
- Keywords:
Pancreatoduodenectomy;
Periampullary neoplasm
- From:
Chinese Journal of General Surgery
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of pancreatic head resection with the second portion duodenectomy (PHRSPD). MethodsThe clinical data of 4 PHRSPD cases were analyzed retrospectively. ResultsThere were 3 benign and 1 low-grade malignant periampullary tumors. The mean surgical time was 417 min, mean blood transfusion was 533 ml, mean hospital stay was 28.6 days. Delayed gastric emptying was encounted in one case. There was no hospital morality or major surgical complications. All cases were alive in the follow-up ranging from 6 to 36 months. There was no newly developed diabetes mellitus or severe gastroenteral symptoms. No reccurrence was found in the case with low-grade malignant duodenal tumor after 26 months. ConclusionsPHRSPD is an efficient way to treat benign and low-grade periampullary neoplasm and accompanying massive bleeding episodes.
