论文部分内容阅读
目的:探讨联合行胃癌根治及胰十二指肠切除治疗局部进展期胃癌的疗效。方法:回顾性分析2005年5月—2012年6月期间11例因侵及胰头或十二指肠而联合行胃癌根治及胰十二指肠切除术的胃癌患者的临床资料。结果:行远端胃联合胰十二指肠切除术6例,行远端胃联合胰十二指肠切除加右半结肠切除5例,全组无手术死亡病例。术后并发症4例,其中胆瘘1例,胰瘘1例,腹腔感染1例,切口感染1例。患者术后1,3,5年生存率分别为68.2%,34.1%,22.7%。结论:对能达到R0切除的胃癌侵犯胰头或十二指肠患者,行胰十二指肠切除术是积极有效的治疗方法。
Objective: To investigate the curative effect of combined radical gastrectomy and pancreatoduodenectomy on locally advanced gastric cancer. Methods: The clinical data of 11 patients with gastric cancer who undergone radical gastrectomy and pancreatoduodenectomy due to invasion of the head of the pancreas or duodenum between May 2005 and June 2012 were retrospectively analyzed. Results: Six cases of distal gastrectomy combined with pancreatoduodenectomy underwent distal gastrectomy combined with pancreaticoduodenectomy plus right colon resection in 5 cases, all without surgical death. Postoperative complications in 4 cases, including 1 case of biliary fistula, pancreatic fistula in 1 case, abdominal infection in 1 case, incision infection in 1 case. The 1, 3, 5-year survival rates of patients were 68.2%, 34.1% and 22.7% respectively. CONCLUSIONS: Pancreaticoduodenectomy is an effective and effective treatment for patients with pancreaticoduodenectomy or duodenum that can achieve R0 excision.