Wu Wenguang, Wang Xu'an, Wu Xiangsong, Li Maolan, Weng Hao, Cao Yang, Bao Ruifa, Su Sijun, Lu Jianhua, Gong Wei, Shi Weibin, Gu Jun, Wang Xuefeng, Liu Yingbin, Quan Zhiwei, Peng Shuyou
Department of General Surgery and Laboratory of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; Institute of Biliary Tract Disease, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Department of General Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
Chin J Cancer Res. 2016 Aug;28(4):423-8. doi: 10.21147/j.issn.1000-9604.2016.04.05.
To evaluate the feasibility and safety of total mesopancreas excision (TMpE) in the treatment of pancreatic head cancer.
The clinical and pathological data of 120 patients with pancreatic head cancer who had undergone TMpE in our center from May 2010 to January 2014 were retrospectively analyzed.
The mean operative time was (275.0±50.2) min and the average intra-operative blood loss was (390.0±160.5) mL. Post-operative complications were reported in 45 patients, while no peri-operative death was noted. The specimen margins were measured in three dimensions, and 86 patients (71.6%) achieved R0 resection.
TMpE is safe and feasible for pancreatic head cancer and is particularly helpful to increase the R0 resection rate.
评估全胰系膜切除术(TMpE)治疗胰头癌的可行性和安全性。
回顾性分析2010年5月至2014年1月在本中心接受TMpE的120例胰头癌患者的临床和病理资料。
平均手术时间为(275.0±50.2)分钟,平均术中出血量为(390.0±160.5)毫升。45例患者出现术后并发症,围手术期无死亡病例。对标本切缘进行三维测量,86例患者(71.6%)实现R0切除。
TMpE治疗胰头癌安全可行,尤其有助于提高R0切除率。