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目的总结高龄壶腹周围癌患者的手术治疗临床经验。方法对227例行手术治疗的70岁以上患者的临床资料进行回顾性分析。结果根治性胰十二指肠切除术89例,姑息性手术138例。根治手术组术后腹腔出血2例,胰瘘3例,肺部感染2例,胃排空迟缓2例。姑息性手术组1例腹腔积液,1例手术后再次出现黄疸,应激性溃疡1例,胃排空迟缓1例。无术后死亡。结论术前积极治疗并存疾病,术中精细熟练操作,术后全面监护防治并发症是高龄壶腹周围癌患者手术治疗成功的保证。
Objective To summarize the clinical experience of surgical treatment of elderly patients with periampullary carcinoma. Methods The clinical data of 227 patients surgically treated over 70 years old were retrospectively analyzed. Results of radical pancreatoduodenectomy in 89 cases, palliative surgery in 138 cases. There were 2 cases of intraperitoneal hemorrhage, 3 cases of pancreatic fistula, 2 cases of lung infection and 2 cases of delayed gastric emptying in the radical operation group. One patient with palliative surgery had peritoneal effusion, one patient had jaundice again after operation, one had stress ulcer and one had delayed gastric emptying. No postoperative death. Conclusion Preoperative positive treatment of co-morbid disease, intraoperative fine skilled operation, comprehensive monitoring of postoperative complications prevention and treatment of elderly patients with periampullary carcinoma of the surgical treatment of the success of the guarantee.