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[影响胰腺癌手术治疗结果的预后因素]

[Prognostic factors influencing results of the surgical treatment of pancreatic cancer].

作者信息

Ignashov A M, Kokhanenko N Iu, Lisochkin B G, Savrasov V M, Volkov O N, Dvorakovskaia I V, Lebedev E G, Kulikov Iu V

出版信息

Vestn Khir Im I I Grek. 2001;160(1):33-6.

Abstract

In patients with carcinoma of the pancreas 128 gastropancreatoduodenal resections (GPDR), 15 distal resections of the pancreas and 3 pancreatectomies were performed. After GPDR 5-year survival was 12%, the survival median was 24.3 months. Only one patient is living 6 years after left-sided resection and pancreatectomy. Long-term results of the operative treatment for carcinoma of the pancreas depended on the amount of regional metastases, degree of differentiation of the tumor, its size and invasion into the vessels. The long-term results were considerably worse if the tumor was localized in the uncinate process, body and tail of the pancreas. The 5-year survival was noted mainly in patients with the 0 and I stages of the disease. It shows the early diagnostics to be necessary.

摘要

对胰腺癌患者实施了128例胃胰十二指肠切除术(GPDR)、15例胰腺远端切除术和3例胰腺切除术。胃胰十二指肠切除术后5年生存率为12%,生存中位数为24.3个月。仅1例患者在左侧切除及胰腺切除术后存活了6年。胰腺癌手术治疗的长期结果取决于区域转移量、肿瘤分化程度、大小及血管侵犯情况。如果肿瘤位于胰腺钩突部、体部和尾部,长期结果会差得多。5年生存率主要见于疾病0期和I期患者。这表明早期诊断很有必要。

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