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目的 探讨壶腹周围癌诊治经验 ,降低胰十二指肠切除术后并发症发生率及病死率。方法 对 10 9例壶腹周围癌的诊治资料进行回顾性总结。结果 行胰十二脂肠切除术 5 2例 ,无手术死亡 ,并发症率 17.3% ;姑息性手术 48例 ;单纯剖腹探查 9例。结论 早期诊断胰十二指肠切除术是壶腹周围癌的外科治疗基础。提高手术技术及加强围手术期处理可降低术后并发症及术后死亡的发生
Objective To investigate the diagnosis and treatment of periampullary cancer and reduce the incidence of postoperative complications and mortality of pancreaticoduodenectomy. Methods The clinical data of 109 cases of periampullary carcinoma were retrospectively reviewed. Results Fifty-two cases of pancreaticoduodenectomy were operated without surgery, with a complication rate of 17.3%. Palliative surgery was performed in 48 cases and simple laparotomy in 9 cases. Conclusion Early diagnosis of pancreatoduodenectomy is the surgical treatment of periampullary carcinoma. Improve the surgical techniques and strengthen the perioperative management can reduce postoperative complications and postoperative death occurred