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[慢性胰腺炎的外科治疗。适应证与结果。246例经验]

[Surgical treatment of chronic pancreatitis. Indications and results. An experience of 246 cases].

作者信息

Campion J P, Bardaxoglou E, Caillon P, Faroux R, Bourdonnec P, Gastard J, Launois B

出版信息

Chirurgie. 1989;115(2):123-31; discussion 132.

PMID:2805920
Abstract

Between 1972 and 1986, 246 patients, mainly alcoholic, with a mean age of 44 years, underwent a total of 270 laparotomies. Parenchymal resections were carried out in 99 patients and drainage and diversion procedures were carried out in 159. Pain was the principal symptom and led to surgery in 60% of cases; biliary or duodenal obstruction was present in 40 and 23.5% of cases respectively. Operative mortality was 9% for resections and 5.8% for other forms of surgery. In the long term, the best results were obtained in patients in whom a Whipple procedure was performed.

摘要

1972年至1986年间,246例患者(主要为酗酒者)接受了总计270次剖腹手术,平均年龄44岁。99例患者进行了实质切除术,159例进行了引流和改道术。疼痛是主要症状,60%的病例因疼痛而接受手术;40%的病例存在胆管梗阻,23.5%的病例存在十二指肠梗阻。切除术的手术死亡率为9%,其他手术方式的手术死亡率为5.8%。从长期来看,接受惠普尔手术的患者取得了最佳效果。

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