Ross H, Jonas R A
Aust N Z J Surg. 1980 Oct;50(5):454-8. doi: 10.1111/j.1445-2197.1980.tb04167.x.
A retrospective analysis was performed on 104 consecutive patients with carcinoma of the pancreas treated between 1970 and 1974 inclusive. Fifty-three per cent underwent palliative bypass, 13% laparotomy only, 6% had a Whipple operation, 7% various miscellaneous operations, and 21% did not undergo operation. The operative mortality of palliative bypass and diagnostic laparotomy was 13% and 71% respectively. The mean survival of patients after biliary bypass was 6.7 months. Seven patients undergoing bypass had tumours of the pancreatic head, five centimetres or less in diameter, and apparently localized disease, and their means survival was 15.9 months. The mean survival of the four patients surviving radical surgery was 15.5 months. There were no cures. It was concluded that cholecystojejunostomy without enteroenterostomy was an appropriate biliary bypass operation and that diagnostic laparotomy should be avoided in patients without obstructive jaundice and with disseminated disease.
对1970年至1974年（含）期间连续收治的104例胰腺癌患者进行了回顾性分析。53%的患者接受了姑息性搭桥手术，13%仅接受了剖腹手术，6%接受了惠普尔手术，7%接受了各种其他手术，21%未接受手术。姑息性搭桥手术和诊断性剖腹手术的手术死亡率分别为13%和71%。胆肠搭桥术后患者的平均生存期为6.7个月。7例接受搭桥手术的患者患有胰头肿瘤，直径5厘米或更小，且疾病明显局限，他们的平均生存期为15.9个月。4例接受根治性手术存活的患者的平均生存期为15.5个月。无一例治愈。结论是，不进行肠吻合的胆囊空肠吻合术是一种合适的胆肠搭桥手术，对于无梗阻性黄疸且有播散性疾病的患者应避免进行诊断性剖腹手术。
