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目的 总结我院 1989～ 1998年治疗侵及胰周重要血管的胰腺癌治疗经验。方法 回顾性分析胰腺、受侵血管联合切除术治疗晚期胰腺癌的手术方法和近期疗效。结果 侵及胰周重要血管的胰腺癌共 3 7例 ,其中 13例行胰头癌及受侵血管联合切除术 ,切除血管段为 0 5～ 4 0cm不等 ,其中 2例血管直接吻合、10例修补缝合、1例行人造血管移植。血流阻断时间 2 0～ 5 0min ,术后病人无并发症 ,无院内死亡。结论 胰头癌和受侵胰周重要血管联合切除术不仅可完整切除病灶 ,达到相对根治目的 ,且手术创伤不大 ,是治疗概念上部分无法切除的胰头癌的安全、可行的术式。
Objective To summarize the experience of treating pancreatic cancer in our hospital from 1989 to 1998 in the treatment of important vessels involved in peripancreatic. Methods The surgical methods and short-term curative effects of pancreatic and thrombectomy combined with resection for advanced pancreatic cancer were retrospectively analyzed. Results A total of 37 cases of pancreatic cancer invading the peripancreatic vessels were involved. Thirteen patients underwent combined resection of the pancreatic head carcinoma and invasion vessels. The resected vessels ranged from 0 to 40cm, of which 2 vessels were directly anastomosed with 10 Case repair suture, 1 case of artificial vascular graft. Blood flow blocking time 20 ~ 50min, postoperative patients without complications, no hospital deaths. Conclusions Combined resection of pancreatic duct carcinoma and major peri-pancreatic peripancreatic vessel can not only complete excision of the lesion but also achieve the purpose of relative radical curative surgery with little surgical trauma. It is a safe and feasible procedure for the treatment of partially unresectable pancreatic head cancer.