Gall F P
Fortschr Med. 1984 Mar 22;102(11):289-92.
Since May 1980 total duodenopancreatectomy for pancreatic cancer, which caused an operative mortality of 25% in former years, was replaced by a subtotal duodenopancreatectomy. This new technique is discussed in detail. Altogether 30 patients were operated since then without postoperative mortality. The procedure is tolerated by the patients much better than a total pancreatectomy. Only 40% developed diabetes postoperatively. At present 4/24 patients with ductal carcinoma of the cephalic pancreas are alive longer than 20 months. It seems, that subtotal duodenopancreatectomy is as an effective radical operation as total pancreatectomy, with a much lower operative risk for the patient.
自1980年5月起，以往导致手术死亡率达25%的胰腺癌全胰十二指肠切除术，已被次全胰十二指肠切除术所取代。本文将详细讨论这一新技术。自那时起，共有30例患者接受了该手术，术后无死亡病例。该手术患者的耐受性比全胰切除术好得多。术后仅有40%的患者出现糖尿病。目前，24例胰头导管癌患者中有4例存活时间超过20个月。看来，次全胰十二指肠切除术与全胰切除术一样是一种有效的根治性手术，且对患者而言手术风险要低得多。
