Krukowski Z H, Ewen S W, Davidson A I, Matheson N A
Department of Surgery, Aberdeen University, UK.
Br J Surg. 1988 Feb;75(2):150-3. doi: 10.1002/bjs.1800750221.
Six patients are described to illustrate the operative management of tubulovillous neoplasms of the duodenum. Pancreaticoduodenectomy is appropriate for associated invasive carcinoma. Transduodenal submucosal excision of tubulovillous neoplasms with resection and reconstruction of the distal bile and pancreatic ducts if necessary is a satisfactory alternative when the neoplasm has not penetrated the muscularis mucosae.
本文描述了6例患者，以说明十二指肠管状绒毛状肿瘤的手术治疗方法。对于伴有浸润性癌的情况，胰十二指肠切除术是合适的。当肿瘤未穿透黏膜肌层时，经十二指肠黏膜下切除管状绒毛状肿瘤，并在必要时对远端胆管和胰管进行切除和重建，是一种令人满意的替代方法。
