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目的:探讨胆胰十二指肠汇合部区域切除术治疗高龄患者壶腹部肿物治疗经验。方法:回顾2008年1月—2010年12月采用胆胰十二指肠汇合部区域切除术治疗高龄壶腹部肿物患者12例临床资料。结果:术后病理诊断:十二指肠乳头癌6例,十二指肠乳头腺瘤恶变2例,胆管下段癌2例,胰头孤立纤维瘤1例,十二指肠降部癌1例,清扫淋巴结无转移。术后无胰瘘、胆瘘等并发症发生。术后随访1年无复发。结论:胆胰十二指肠汇合部区域切除术是治疗早期壶腹部肿物一种新方法。
Objective: To explore the treatment of ampullary tumor in elderly patients by regional excision of choledocho-pancreaticoduodenal junction. Methods: The clinical data of 12 cases of elderly patients with ampulla were treated by regional excision of choledocho-pancreaticoduodenal junction from January 2008 to December 2010. Results: Postoperative pathological diagnosis: six cases of duodenal papillary carcinoma, two cases of duodenal papillary adenoma malignant transformation, two cases of biliary ductal carcinoma, one case of isolated pancreatic head fibroids, one case of inferior duodenal carcinoma , No lymph node dissection. No postoperative pancreatic fistula, biliary fistula and other complications occurred. Follow-up 1 year without recurrence. Conclusion: Regional excision of choledocho-pancreaticoduodenal junction is a new method for the treatment of early ampulla mass.