保留胰腺的十二指肠切除术
韩玮,王喜艳
摘要(Abstract):
<正>胰十二指肠切除术作为治疗胰头及十二指肠周围区域恶性肿瘤、多发良性病变及严重外伤的经典术式,在临床上被广泛采用。但这一术式切除范围大,对手术技术要求高, 术后并发症多,尚不能在各级基层医院广泛开展。另外,针对十二指肠的良性病变施行胰十二指肠切除术虽彻底切除了病变但同时切除了正常的胰腺组织。近年来出现了保留胰腺的十二指肠切除术(pancreas-sparing duodenectomy, PSD),PSD作为一种较新的术式在治疗十二指肠良性病变及严重外伤具有明显优势,本文对PSD的研究进展综述如
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作者(Author): 韩玮,王喜艳
参考文献(References):
- [1]Hagai H. Configurational anatomy of the pancreas: it.s surgical relevance from ontogenetic and comparative-anatomical viewpoint[J], J Hepatobiliary Pancreat Surg, 2003,10(1): 48-56.
- [2]王维民,王加其,张宝善.保留胰腺的十二指肠切除[J].中国 实用外科,1997,17(10):626-627.
- [3]Sillin LF, Rosenbloom MS, Chung RS. Ninety-five percent duodenectomy: an experimental study[J]. Am J Surg, 1984, 148(3):337-339.
- [4]Chung RS; Church JM; van Stolk R. Pancreas sparing duodenectomy: indications, surgical technique, and results[J]. Surgery, 1995 , 117(3): 254-259.
- [5]Maher MM, Yeo CJ, Lillemoe KD, et al. Pancreas-sparing duodenectomy for infra-ampullary duodenal pathology[J]. Am J Surg, 1996, 171(1): 62-67.
- [6]Crist DW, Sitzmann JV, Cameron JL. Improvel hospitalmorbidity mortality and survival after the whipple procedure[J]. Ann Surg, 1987, 206:358-359.
- [7]De Vos tot Nederveen Cappel WH, Jarvinen HJ, Bjork J, et al. Worldwide survey among polyposis registries of surgical managementof severe duodenal adenomatosis in familial . adenomatous polyposis[J]. Br J Surg, 2003, 90(6): 705-710.
- [8]Lundell L, Hyltander A, Liedman B. Pancreas-sparing duodenectomy: technique and indications[J] Eur J Surg, 2002, 168 (2): 74-77.
- [9]Cho A, Ryu M, Ochiai T. Successful resection, using pancreas-sparing duodenectomy, of extrahepatically growing hepatocellular carcinoma associated with direct duodenal invasion [J]. J Hepatobiliary Pancreat Surg, 2002, 9(3): 393-396.
- [10]Alarcon FJ, Burke CA, Church JM, et al. Familial adenomatous polyposis: efficacy of endoscopic and surgical treatment for advanced duodenal adenomas [J]. Dis Colon Rectum, 1999, 42(12):1533-1536.
- [11]梁力建.保留胰腺的十二指肠切除[J].中国实用外科,2003, 23(2):104-106.
- [12]Suzuki H, Yasui A. Pancreas-sparing duodenectomy for a huge leiomyosarcoma in the third portion of the duodenum [J]. J Hepatobiliary Pancreat Surg, 1999, 6(4): 414-417.
- [13]Nagai H, Hyodo M, Kurihara K, et al. Pancreas-sparing duodenectomy classification, indication and procedures [J]. Hepatogastroenterology, 1999, 46(27):1953-1958.