胰腺颈部肿瘤的外科手术治疗(附102例报告)
Chinese Journal of Practical Surgery ›› 2014, Vol. 34 ›› Issue (03) : 249-251.
The surgical experience for the tumor of neck of pancreas:A report of 102 cases ZHANG He,SUN Bei,CHEN Hua,et al. Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China
Corresponding author:SUN Bei,E-mail:sunbei70@tom.com
Abstract Objective To summarize the experience of the surgical treatment of the tumor of neck of pancreas. Methods The clinical data of patients with tumor of neck of pancreas who undergone the surgical treatment between January 1, 2008 and December 1, 2013 in the First Affiliated Hospital of Harbin Medical University were analyzed retrospectively. Results All the cases included 24 cases of enucleation of the tumor,22 cases of central pancreatectomy,33 cases of distal pancreatectomy,22 cases of pancreaticoduodenectomy,1 case of duodenum-preserving pancreatic head and neck resection. Pancreatic fistula occurred in 35 cases(34.3%). Two cases were treated with a stent in pancreatic duct and the others were cured with non-invasive methods. Biliary fistula occurred in 1 case 12 days after operation and was cured without invasive process. Two cases with postoperative hemorrhage were treated with operations and discharged from hospital with healing. No perioperative death occurred. Conclusion There are so many kinds of surgical techniques for the tumor of neck of pancreas. We should choose a radical, safe surgery and try to preserve the function of pancreas.
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