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目的：研究胰十二指肠区转移癌的外科治疗效果。方法：报告６例胰十二指肠区转移癌的外科切除治疗的体会，原发癌包括：胃癌３例；胃平滑肌肉瘤，胆囊癌，胆管癌各１例。结果：除１例于术后３周死于肺部感染外，余５例均存活２个月～１年６个月。结论：由门静脉与腔静脉途径肝肺的血源性播散属有限的转移，手术切除最可能获得成功。
Objective: To study the surgical treatment of metastatic carcinoma of pancreaticoduodenal region. METHODS: Six patients with pancreatic and duodenal metastases were treated with surgical resection. Primary cancers included: 3 gastric cancers; 1 gastric leiomyosarcoma, 1 gallbladder, and 1 cholangiocarcinoma. RESULTS: Except 1 patient who died of lung infection 3 weeks after operation, the remaining 5 patients all survived 2 months to 1 year 6 months. CONCLUSIONS: Hematogenous dissemination from the portal vein and the vena cava by hepatic lung is a limited metastasis, and surgical resection is most likely to be successful.