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目的：探讨胰腺癌术式的选择。方法：自１９９７年８月～１９９８年２月对３例胰腺癌患者行全胰切除术。结果：３例患者术后恢复均顺利，无严重合并症发生。除１例术后６个月死于肝转移，另２例随访至５个月和９个月仍健在，无转移征象，生活质量良好。结论：作者认为，随着手术技能、手术前后的治疗、护理水平的不断提高，全胰切除的适应证亦应随之扩大，胰腺癌的外科治疗和生存率将会得到提高。
Objective: To explore the choice of surgical procedures for pancreatic cancer. Methods: Three pancreatic cancer patients underwent total pancreatectomy from August 1997 to February 1998. RESULTS: All three patients recovered well after surgery without severe complications. Except one case died of hepatic metastasis 6 months after operation, the other 2 cases were still alive after 5 months and 9 months follow-up, no metastasis signs, and good quality of life. Conclusion: The authors believe that with the continuous improvement of surgical skills, preoperative and postoperative care, and the level of care, the indication for total pancreatectomy should also expand, and the surgical treatment and survival of pancreatic cancer will be improved.