Clinical value of synangio-excision-restruction in pancreatic cancer radical operation
10.3969/j.issn.1671-8348.2017.18.021
- VernacularTitle:联合血管切除重建在胰腺癌根治术中的临床价值
- Author:
Xiang FANG
;
Gang SHI
;
Gang MAI
;
Liang AN
;
Yuetian ZHANG
;
Zhen LIU
;
Yong YANG
;
Benbo ZHENG
- Keywords:
pancreatic neoplasms;
revascularization;
pancreatic cancer radical operation;
postoperative complications;
prognosis;
quality of life
- From:
Chongqing Medicine
2017;46(18):2509-2511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of synangio-excision-restruction in pancreatic cancer radical operation on the complications,living quality and survival status in the patients with pancreatic cancer.Methods A total of 255 patients with pancreatic cancer in our hospitals from January 2010 to October 2015 were selected and divided into 3 groups according to different operation modes:41 cases in the Synangio-excision-restruction group(A),113 cases in the non-synangio-excision-restruction group (B) and 101 cases in the palliative by-pass operation group(C).The clinical data in 3 groups were analyzed.The influence of Synangio-excision-restruction on operative complications,living quality and survival status was investigated.Results The incidence rate of complications in the group A was 56.10％,which was obviously higer than 34.51％ in the group 1β and 20.79％ in the group C,and the difference was statistically significant(P＜0.05).In the group A,the incidence rates of belly ache and body weight gain were 36.59％ and 51.22％ respectively,which comparing with 91.09％ and 9.09％ in the group C showed statistically significant difference(P＜0.05).The median survival time(MST) in the group A was 11.83 months,which in the group B and C were 15.43 months and 7.50 months,the difference between the group A and C was statistically significant(x2 =4.27,P＜0.05);while the difference between the group A and B was not statistically significant(x2=3.67,P＞0.05).Conclusion For the pancreatic cancer patients with affected portal vein and inferior mesenteric vein,the synangio-excision-restruction radical operation can obviously prolong the patients' survival time and improves their living quality.
