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目的探讨保留幽门的胰十二指肠切除术的疗效及该技术并发症的发生率。方法本组回顾性分析采用保留幽门的胰头十二指肠切除术治疗壶腹周围癌共20例,描述手术要点,总结其优点。结果全组患者术后无胃排空延迟,无胆漏、胰漏、肠漏,无消化道出血发生。全组病例痊愈出院。结论保留幽门不影响胰头癌及壶腹周围癌根治的彻底性。本组病例术后并发症少,死亡率低,消化功能恢复快,是一种有广泛应用前景的术式。
Objective To investigate the efficacy of preserving pylorus in pancreatoduodenectomy and the incidence of complications. Methods This group of retrospective analysis of retained pyloric pancreaticoduodenectomy for the treatment of ampullary carcinoma in 20 cases, describing the main points of surgery, summarizes its advantages. Results All patients had no postoperative delayed gastric emptying, no bile leakage, pancreatic leakage, intestinal leakage, no gastrointestinal bleeding occurred. All patients were discharged. Conclusion Pylorus does not affect the preservation of pancreatic cancer and periampullary carcinoma radical radical. This group of patients with less postoperative complications, low mortality, rapid recovery of digestive function, is a broad application prospect of surgery.