论文部分内容阅读
目的总结胰腺实性假乳头状瘤的外科治疗体会。方法 45例胰腺实性假乳头状瘤患者,均行手术治疗,其中11例行胰腺局部切除术,20例行胰体尾切除术,5例行胰体尾联合脾脏切除术,9例行胰十二指肠切除术。结果 8例发生消化不良,2例患者术后发生胰瘘,胸腔积液2例,切口液化、感染2例,早期(术后24 h内)消化道出血1例。所有患者均保守治疗均痊愈出院。43例获得随访,随访时间6~160个月,平均(41.5±1.5)个月,术后均无转移、复发及死亡。结论腺假乳头状瘤为潜在低度恶性肿瘤,好发于年轻女性,手术是唯一根治的治疗方式,预后一般较好。
Objective To summarize the surgical treatment of solid pseudopapillary tumors of the pancreas. Methods Forty-five patients with solid pseudopapillary pancreatic tumors underwent surgical resection. Eleven cases underwent pancreatic excision, 20 cases underwent pancreatectomy, 5 cases underwent pancreatic body tail combined with splenectomy, and 9 cases underwent pancreatic surgery Duodenal resection. Results Eight cases had dyspepsia. Two cases had postoperative pancreatic fistula, pleural effusion in 2 cases, incision liquefaction, infection in 2 cases and early (within 24 h) gastrointestinal bleeding in 1 case. All patients were conservative treatment were discharged. Forty-three patients were followed up for 6 to 160 months with an average of (41.5 ± 1.5) months. No metastasis, recurrence and death occurred after operation. Conclusion Gonzo papilloma is a potentially low-grade malignant tumor that occurs in young women. Surgery is the only radical treatment and the prognosis is generally good.