胰头癌的姑息治疗
Palliation for carcinoma of head of pancreas.
作者信息
Ubhi C S, Doran J
出版信息
Ann R Coll Surg Engl. 1986 May;68(3):159-62.
Abstract
Ninety eight consecutive patients with an operative diagnosis of carcinoma of the head of the pancreas are discussed. Recent advances in the preoperative diagnosis and management appear to have failed to make a significant impact in non-specialised units, with 82 patients undergoing palliative procedures with an operative mortality of 25.6% rising to 36% when jaundice was present. Overall median survival was 202 days (range 35-967). Recurrence of jaundice developed in 42 patients and was more common with cholecysto-enteric bypass than in choledocho-enteric bypass. Forty four per cent of patients undergoing biliary bypass alone subsequently had signs of gastric outlet obstruction.
摘要
讨论了98例经手术诊断为胰头癌的连续患者。术前诊断和治疗的最新进展似乎未能在非专科单位产生重大影响，82例患者接受了姑息性手术，手术死亡率为25.6%，出现黄疸时升至36%。总体中位生存期为202天（范围35 - 967天）。42例患者出现黄疸复发，在胆囊肠吻合术比胆管肠吻合术中更常见。仅接受胆道旁路手术的患者中有44%随后出现胃出口梗阻的迹象。
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