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胰头部所有恶性肿瘤中,壶腹癌的发病率仅次于胰腺癌。尽管其切除后有较好转归,但仍有半数或更多的病人死于肿瘤复发。本研究目的在于通过对壶腹癌病人的死亡率、手术后早、晚期并发症发生率及生存率的评估来判定胰十二指肠切除术效果,并对影响生存率的预后因素进行分析。 1984～1992年间有67例连续住院的壶腹癌病人接受胰十二指肠切除术。病人年龄39～74岁(平均61岁),男性42例,女性35例。另外,有129例其它肿瘤病人同期亦进行
The incidence of ampullary cancer is second only to pancreatic cancer in all malignant tumors of the pancreatic head. Despite better outcome after resection, half or more of the patients died of tumor recurrence. The purpose of this study was to determine the efficacy of pancreatoduodenectomy by evaluating the mortality rate of patients with ampullary carcinoma, the early and late complications and the survival rate after surgery, and to analyze the prognostic factors that influence the survival rate. Between 1984 and 1992, 67 patients with ampullary carcinoma who were hospitalized consecutively underwent pancreatoduodenectomy. The patient’s age was 39-74 years old (mean 61 years old), 42 males and 35 females. In addition, 129 other tumor patients were also performed during the same period.