Grill W
MMW Munch Med Wochenschr. 1979 Dec 21;121(51-52):1723-6.
Whipple's operation is a big intervention. Only through it have patients with serious and severe diseases of the duodenopancreatic region a real chance of cure. The decision to perform Whipple's operation in chronic relapsing pancreatitis, which in principle is a benign disease, is certainly not a light one. But there is no doubt that the chronic inflammatory and abscess-forming diseases of the head of the pancreas cannot be considered benign, either clinically or morphologically. The results are not satisfying, but understandable in view of the severity of the disease and the magnitude of the operation. In addition to operative experience, a better early diagnosis in particular gives a better chance of survival.
惠普尔手术是一项大型手术干预。只有通过该手术,十二指肠胰腺区域患有严重疾病的患者才有真正治愈的机会。对于原则上属于良性疾病的慢性复发性胰腺炎患者,决定实施惠普尔手术绝非易事。但毫无疑问,胰腺头部的慢性炎症性和脓肿形成性疾病,无论在临床还是形态学上,都不能被视为良性。尽管结果不尽人意,但鉴于疾病的严重性和手术规模,这也是可以理解的。除了手术经验外,更好的早期诊断尤其能提供更好的生存机会。