联合门静脉/肠系膜上静脉切除的胰头癌根治术(附2例临床分析)-东南大学学报医学版

联合门静脉/肠系膜上静脉切除的胰头癌根治术(附2例临床分析)

单位：东南大学附属中大医院,普外科,江苏,南京,210009

分类号：R735.9, R730.56

出版年·卷·期（页码）：2006·25·第六期（451-453）

摘要：

目的:探讨胰腺癌根治手术中肿瘤侵犯门静脉和(或)肠系膜上静脉(PV/SMV)的处理方法,以提高胰腺癌的手术切除率.方法:回顾2005年1至7月进展期胰腺癌施行联合PV/SMV部分切除的胰头癌根治术2例的临床资料.结果:2例均行血管节段切除,患者均未发生血管栓塞、肠坏死、肝衰竭等并发症.结论:对于癌肿侵犯门静脉系统的胰头癌患者,施行含PV/SMV的联合切除术是必要和安全的.

Objective To evaluate the treatment for pancreatic cancer with portal vein(PV) and/or superior mesenteric vein(SMV) invaded.Method Two patients with locally advanced pancreatic carcinoma invading PV/SMV received an en bloc resection including the invaded PV/SMV.Results Two cases got segment resection of the blood vessel.No embolization,intestinal necrosis or hepatic failure was found in the two cases after operation.Conclusion If there is no contraindication,pancreaticoduodenectomy with en bloc resection of invaded PV/SMV seems to be necessary and safe.

参考文献：

[1] 李力军, 封国生, 刘璐. 125I籽源与缓释化疗粒子联合植入靶向治疗进展期胰腺癌. 东南大学学报(医学版)2004(4). doi:10.3969/j.issn.1671-6264.2004.04.011
[2] FORTNER J G. Regional resection and pancreatic carcinoma, 1973(5)
[3] TAKAHASHI S, OGATA Y, TSUZUKI T. Combined resection of the pancreas and portal vein for pancreatic cancer. 1994(8). doi:10.1002/bjs.1800810837
[4] HOWARD J M. Development and progress in resective surgery for pancreatic cancer. 1999(9). doi:10.1007/s002689900597
[5] RODER J D, STEIN H J, SIEWERT J R. Carcinoma of the periampullary region:who benefits from portal vein resection?, 1996(1)
[6] FORTNER J G, KLIMSTRA D S, SENIE R T. Tumor size is the primary prognosticator for pancreatic cancer after regional pancreatectomy. 1996(2). doi:10.1097/00000658-199602000-00006
[7] TASHIRO S, UCHINO R, HIRAOKA T. Surgical indication and significance of portal vein resection in biliary and pancreatic cancer, 1991(4)
[8] 陈福真, 符伟国, 徐欣. 胰腺和门静脉联合切除人造血管替代治疗胰头癌2例报告. 中华外科杂志1997(3)
[9] 苗毅, 戴存才, 奚春华. 联合门静脉/肠系膜上静脉切除的胰十二指肠切除术. 医师进修杂志2005(1). doi:10.3760/cma.j.issn.1673-4904.2005.02.002

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录