Analysis of Radical Resection for Pancreatic Head Cancer in 73 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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姚辉华 , 王文涛曾勇

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Keywords：

胰头癌; 胰十二指肠切除术

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【摘要】目的探讨提高可切除胰头癌疗效和降低手术风险的方法。
方法回顾我院1996年1月至2001年12月期间行根治性胰十二指肠切除术治疗的胰头癌病例，对可切除胰头癌患者的术前评估、围手术期治疗和术式选择进行分析。
结果外科收治胰头癌271例，行根治性切除术73例，根治切除率为26.9%（73/271），围手术期死亡率为6.8%（5/73）。其中56例行改良扩大的胰十二指肠切除术，1年和3年生存率分别为71.4%和33.9%。
结论根治性胰十二指肠切除术是可切除胰头癌惟一可能提供治愈机会的治疗选择。加强术前评估并同时重视围手术期处理，有助于改善预后。

Citation： 姚辉华,王文涛曾勇. Analysis of Radical Resection for Pancreatic Head Cancer in 73 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(1): 77-78. doi: Copy

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1. Cameron JL, Crist DW, Sitzmann JV, et al. Factors influencing survival after pancreaticoduodenectomy for pancreatic cancer [Ｊ]. Am J Surg, 1991; 161(1)∶120.
2. Sener SF, Fremgen A, Menck HR, et al. Pancreatic cancer: a report of treatment and survival trends for 100,313 patients diagnosed from 1985-1995, using the National Cancer Database [Ｊ]. J Am Coll Surg, 1999; 189(1)∶1.
3. Hermreck AS, Thomas CY 4th, Friesen SR. Importance of pathologic staging in the surgical management of adenocarcinoma of the exocrine pancreas [Ｊ]. Am J Surg, 1974; 127(6)∶653.
4. Stephens J, Kuhn J, O’Brien J, et al. Surgical morbidity, mortality, and longterm survival in patients with peripancreatic cancer following pancreaticoduodenectomy [Ｊ]. Am J Surg, 1997; 174(6)∶600.
5. Kayahara M, Nagakawa T, Ohta T, et al. Analysis of paraaortic lymph node involvement in pancreatic carcinoma: a significant indication for surgery? [Ｊ]. Cancer, 1999; 85(3)∶583.
6. Willett CG, Lewandrowski K, Warshaw AL, et al. Resection margins in carcinoma of the head of the pancreas. Implications for radiation therapy [Ｊ]. Ann Surg, 1993; 217(2)∶144.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Radical Resection for Pancreatic Head Cancer in 73 Cases

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