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目的探讨胰十二指肠切除联合大段肠系膜上-门静脉切除后不用血管替代进行端端吻合的可行性和安全性。方法对北京大学临床肿瘤学院自2006年8月至2007年2月采用联合肝脏游离及Cattell-Braasch手法施行胰十二指肠联合5cm以上门静脉-肠系膜上静脉的切除,未采用替代血管而直接行端端吻合的5例胰头癌病人的临床资料进行总结。结果术后所有病人均恢复顺利,无严重手术并发症和围手术期死亡。结论胰十二指肠切除联合大段门静脉-肠系膜上静脉切除后直接进行端端吻合,是安全、可行的一种方法。
Objective To investigate the feasibility and safety of pancreaticoduodenectomy combined with large segment of superior mesenteric-portal vein resection without end-to-end anastomosis. Methods The pancreaticoduodenectomy combined with Catheter-Braasch approach and pancreaticoduodenectomy combined with the portal vein-superior mesenteric vein more than 5cm was performed in the College of Clinical Oncology, Peking University from August 2006 to February 2007 without alternative blood vessels. 5 cases of pancreatic cancer end-to-end clinical data were summarized. Results All patients recovered smoothly after operation without serious complications and perioperative death. Conclusions Pancreaticoduodenectomy combined with large segment of portal vein - superior mesenteric vein resection directly end to end anastomosis is a safe and feasible method.