中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (08): 644-646.

• 专题笔谈 • 上一篇    下一篇

保留十二指肠胰头切除术在胰头部肿块治疗中的应用价值

田雨霖   

  1. 中国医科大学附属第一医院普通外科教研室胃肠胰腺外科，辽宁沈阳 110001
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-08-01 发布日期:2009-08-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-08-01 Published:2009-08-01

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摘要：

胰头部与十二指肠关系密切，既往行胰头切除时同时切除十二指肠，被认为是不可避免的。1972年Beger等首先为慢性胰腺炎施行保留十二指肠胰头切除术（DPPHR，Beger手术），有较高长时间的疼痛缓解率。Imaizimi等于1990年报道改良的Beger手术，施行保留十二指肠胰头全切除术（DPTPHR），主要用于无须行淋巴结清扫的胰头部低度恶性肿瘤。保留十二指肠胰头切除仅切除胰头病灶，不破坏消化道解剖连续性和生理功能，改善了术后生活质量。近年来，保留十二指肠胰头切除术在临床上得到比较广泛的应用，令人关注。

关键词: 胰腺炎, 胰腺肿瘤, 保留十二指肠胰头切除术, 胰十二指肠切除术

Abstract:

Applied value of duodenum-preserving pancreatic head resection (DPPHR) in treating tumor of pancreatic head Department of General Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, China Abstract There is a close relationship anatomically between pancreatic head and duodenum. It was known previously that it was inevitable to resect pancreatic head together with duodenum. Beger firstly reported duodenum-preserving pancreatic head resection (DPPHR) for the patient with chronic pancreatitis in 1972. Imaizimi reported modified Beger’s operation, duodenum-preserving total pancreatic head resection (DPTPHR) for the patient with low-degree malignant tumor of pancreatic head without lymph nodes clearance in 1990. DPPHR resect only focus of pancreatic head, do not destroy continuous instruction of digest tract, and improve postoperative life quality. Recently, DPPHR has been extensively used in surgical clinics.

Key words: pancreatitis, pancreatic tumor, DPPHR, pancreatoduodenectomy