Objective: To explore the value of duodenum-preserving near-total pancreatic head resection ( DPNTPHR) without segmental duodenectomy for treating benign benign tumor of pancreatic head ( BTPH). 目的:探讨保留十二指肠的胰头近全切除术治疗胰头部良性肿瘤的价值。
Objective To compare the early postoperative results of pylorus-preserving pancreato duodenectomy with Whipple resection. 目的对保留幽门的胰十二指肠切除术及Whipple术后早期效果进行比较。
Pancreas-sparing duodenectomy in treatment of duodenal tumor: a report of 4 cases 保留胰腺的十二指肠切除术治疗十二指肠肿瘤4例报告
The main surgical procedure of primary duodenal carcinoma is pancreatoduodenectomy, segmental duodenectomy and simple tumor resection. 手术以胰十二指肠切除术为主,节段性肠切除术和单纯癌肿切除术根据具体情况可酌情应用。
Pancreatoduodenectomy was performed in 22 cases, segmental duodenectomy in 2 cases, simple tumor resection in 3 cases, gastroenterostomy or choledochojejunostomy in 12 cases and simple laparotomy in 4 cases. 行胰十二指肠切除术22例,节段性肠切除术2例,单纯癌肿切除术3例,胃肠、胆肠吻合术12例,剖腹探查术4例,手术切除率为63%。
Pancreatic head resection with second-portion duodenectomy for the treatment of periampullary neoplasms 胰头及十二指肠第二段切除术治疗壶腹周围肿瘤四例
Among the 24 cases, 18 cases underwent local resection, 4 segmental duodenectomy, 1 subtotal gastrectomy and 1 pylorus-preserving pancreatoduodenectomy. 行肿瘤局部切除术18例,十二指肠节段切除术4例,毕I式胃大部切除术1例,保留幽门的胰十二指肠切除术1例。
Pancreaticoduodenectomy were performed for 18 cases, segmental duodenectomy for 4 cases, with a resection rate of 68.7% ( 22/ 32). 18例行胰十二指肠切除,4例行节段切除,切除率68.7%(22/32)。
Segmental duodenectomy and simple tumor resection are curable for benign PTD, while for malignant PTD the therapy of choice should be pancreatoduodenectomy. 对于良性肿瘤可选用十二指肠节段切除或局部切除,对于恶性肿瘤应首选胰十二指肠切除术。