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目的 总结胰腺癌切除时门静脉 (PV)及肠系膜上静脉 (SMV)损伤的处理和预防经验。方法 对 4例PV和SMV损伤患者的临床资料进行分析。结果 2例胰头癌行胰十二指肠切除时损伤PV及SMV各 1例 ,2例胰体癌行胰体尾切除时损伤PV及脾静脉各 1例 ,3例在手术中及时修补、治愈 ,1例行PV及SMV架桥治愈。结论 术中过度牵拉 ,操作粗暴或肿瘤侵犯血管强行分离是造成PV和SMV损伤的原因 ,应注意避免 ,损伤发生后应根据损伤情况给予及时修复 ,但应重在预防。
Objective To summarize the experience of treatment and prevention of portal vein (PV) and superior mesenteric vein (SMV) injury during resection of pancreatic cancer. Methods The clinical data of 4 patients with PV and SMV injury were analyzed. Results Two patients with pancreatic head carcinoma underwent pancreaticoduodenectomy, 1 patient had PV and SMV injury, 1 patient had PV and splenic vein injury in 2 patients with pancreatic body cancer, 3 patients were repaired in time, Cure, 1 case of PV and SMV bridge cure. Conclusions Intraoperative excessive traction, gross operation or tumor invasion is the cause of injury of PV and SMV. It should be avoided and the injury should be promptly repaired after the injury, but should be focused on the prevention.