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目的 :探讨胃癌术后胰头转移再行胰十二指肠手术切除的临床意义。方法 :对我科近年来 5例胃癌术后胰头转移的手术切除病例的手术指征、并发症预防及预后进行分析。结果 :术后并发症发生率 2 0 % (1 5 ) ,主要有肺部感染 ,切口裂开。围手术期无死亡。经随访 4例的生存期为 6～ 15月 ,平均 (10 6± 2 3)个月。结论 :胃癌术后胰头转移的再手术切除有助于改善患者的主观感觉和生存质量 ,在一定程度上延长患者的生存期
Objective: To explore the clinical significance of pancreaticoduodenectomy after resection of pancreatic head after gastric cancer. Methods: The surgical indications, complications prevention, and prognosis of surgical resection of pancreatic head metastases from 5 patients with gastric cancer in our department were analyzed. Results: The incidence rate of postoperative complications was 20% (15%). There was mainly pulmonary infection and the incision was dehiscent. There was no death during the perioperative period. The follow-up 4 cases had a survival period from 6 to 15 months, with an average of (10 6 ± 2 3) months. Conclusion : Reoperation of pancreatic head metastasis after gastric cancer can improve the subjective sensation and quality of life of patients, and extend the survival of patients to some extent.