十二指肠壶腹周围绒毛状肿瘤的局部切除术。
Local excision of periampullary villous tumours of the duodenum.
作者信息
Sakorafas G H, Sarr M G
机构信息
Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, USA.
出版信息
Eur J Surg Oncol. 1999 Feb;25(1):90-3. doi: 10.1053/ejso.1998.0607.
AIMS
Our goal was to describe our technical approach to transduodenal submucosal resection of periampullary villous tumours of the duodenum.
METHODS
We address technical tips to aid in exposure and reconstruction of pancreaticobiliary continuity with special reference to the indications for adding biliary sphincteroplasty, pancreatic septectomy, and local resection of neoplasms extending past the immediate ampullary mucosa into the bile and/or pancreatic ducts.
CONCLUSIONS
This approach has proven safe, easy and without significant morbidity.
目的
我们的目标是描述十二指肠壶腹周围绒毛状肿瘤经十二指肠黏膜下切除术的技术方法。
方法
我们阐述了有助于暴露和重建胰胆管连续性的技术要点，特别提及了增加胆管括约肌成形术、胰腺隔膜切除术以及对肿瘤超出壶腹黏膜直接延伸至胆管和/或胰管进行局部切除的适应证。
结论
该方法已被证明是安全、简便且无明显并发症的。
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