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目的探讨并总结胰体尾癌的手术切除方法和经验。方法23例胰体尾癌患者,通过采用腹膜后血管的骨骼化处理,淋巴结广泛廓清,胰腺断端的细致处理,腹腔神经节的切断等方法提高切除率。结果本组23例胰体尾癌均行手术切除,其中联合脏器切除4例。术后死亡1例,术后并发症发生率17.4%。平均生存时间为14.8个月。结论对于胰体尾癌,尤其是有腹膜后重要血管和腹腔神经丛浸润的晚期癌,通过努力完全可以手术切除。
Objective To explore and summarize the surgical resection methods and experience of pancreatic body tail cancer. Methods Twenty-three patients with pancreatic body end-cancer were enrolled in this study. The resection rate was improved by using the retroperitoneal vascularization, extensive lymph node dissection, detailed treatment of the pancreas and the celiac ganglion. Results The group of 23 patients with pancreatic body cancer were performed surgical resection, including the combined removal of organs in 4 cases. One patient died after operation, and the incidence of postoperative complications was 17.4%. The average survival time was 14.8 months. Conclusion For the pancreatic body and tail cancer, especially those with advanced retroperitoneal vascular invasion and celiac plexus, it can be surgically removed through hard work.