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19世纪后期,外科领域已开始对壶腹周围肿瘤进行有限手术治疗,如1899年Halsted对Vater氏壶腹癌实施局部切除胰胆管植入手术,获得成功,据后来有关资料报道。其5年生存率可达51％(仅适用于壶腹癌)。1907年Desjardins通过实验提出:在肤12指肠部分切除后,采用胰管空肠吻合及胆道空肠吻合进行重建,为后来的胰12指肠切除术奠定了基础。1912年Kansch对胰头癌病人采用部分胰腺切除,胰尾12指肠吻合术。此外,(Hirschel1914;Tenani 1922)等一些外科医师都曾在胰12指肠的术式方面做了很多工作,虽然这些
In the late 19th century, surgical field has begun limited surgical treatment of periampullary tumors, such as Halsted in 1899 to perform partial resection of pancreaticobiliary duct surgery for Vater’s ampullary carcinoma, and succeeded, according to relevant information later. Its 5-year survival rate is up to 51% (applicable to ampullary cancer only). In 1907, Desjardins put forward the experiment: After partial resection of the skin and 12th intestine, pancreaticojejunostomy and biliary jejunal anastomosis were reconstructed, which laid a foundation for subsequent pancreatoduodenectomy. In 1912, Kansch performed partial pancreatectomy on the patient with pancreatic head cancer, pancreatic tail 12-intestinal anastomosis. In addition, some surgeons, such as (Hirschel1914; Tenani 1922), have done a lot of work in the pancreatic and duodenal surgery.