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本文收集了我院1957～1994年8月经剖腹探查,病理证实而未能切除的胰腺癌165例,行胰腺癌姑息性切除5例(3%),胆囊或胆总管十二指肠吻合术4例(2.4%),胆囊或胆总管空场Roux—y吻合术86例(52.1%),并对其中的18例附加胃空肠吻合术占(18/86)20.9%,胆囊造瘘,胆总管“T”管引流23例(13.9%).作者认为,胰腺癌手术切除率低,大多数患者通过姑息手术,能够提高生存质量,改善症状,延长生存期,对一般情况尚好,不能行胰十二指肠切除,可望较长期存活的患者,胆总管空肠Roux—y吻合附加胃空肠吻合术,是值得推荐的一种姑息性手术方式.
This article collected 165 cases of pancreatic cancer that had been pathologically confirmed and failed to be removed in our hospital from August 1957 to August 1994. Palliative resection of pancreatic cancer was performed in 5 cases (3%), gallbladder or common bile duct duodenal anastomosis 4 Cases (2.4%), gallbladder or common bile duct Roux-y anastomosis in 86 cases (52.1%), and in which 18 cases of additional gastrojejunostomy accounted for (18/86) 20.9%, gallbladder fistula, common bile duct “T” tube drainage in 23 cases (13.9%). The authors believe that the surgical resection rate of pancreatic cancer is low, most patients with palliative surgery, can improve the quality of life, improve symptoms, prolong survival, is generally good, can not do In patients with long-term survival after biliary resection, Roux-y combined with gastrojejunostomy of the common bile duct jejunum is recommended as a palliative surgical procedure.