Chekan E G, Clark L, Wu J, Pappas T N, Eubanks S
Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.
Semin Surg Oncol. 1999 Jun;16(4):313-20. doi: 10.1002/(sici)1098-2388(199906)16:4<313::aid-ssu6>3.0.co;2-d.
Very few patients with a periampullary neoplasm present with resectable disease. Consequently, various operative and non-operative techniques have been developed to palliate patients with unresectable periampullary disease. Laparoscopic biliary (cholecystojejunostomy) and enteric bypass (gastrojejunostomy) are reasonable options as compared to their open counterparts for operative palliation. However, only a limited number of carefully selected patients meet selection criteria for laparoscopic palliation.
很少有壶腹周围肿瘤患者的疾病可切除。因此，已经开发了各种手术和非手术技术来缓解无法切除的壶腹周围疾病患者的症状。与开放手术相比，腹腔镜胆道（胆囊空肠吻合术）和肠道旁路（胃空肠吻合术）是手术姑息治疗的合理选择。然而，只有少数经过精心挑选的患者符合腹腔镜姑息治疗的选择标准。
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