Lerut J, Gianello P, Otte J B, Kestens P J
Acta Chir Belg. 1984 Sep-Oct;84(5):313-8.
56 different ampullary and periampullary lesions were treated by pancreaticoduodenal resection (PDR). There were 26 ampullary, 25 pancreatic and 5 biliary duct tumors. A retrospective pathological study of the resected specimen allowed an exact analysis of type, size and loco-regional extension of all these tumors. These data are correlated with the survival rate following an identical surgical treatment. PDR is the first choice therapy of the ampullary tumor even if lymph node involvement is present. The results of this resectional therapy are very disappointing in pancreatic and biliary duct cancers. Presence of multiple risk factors and/or lymph node involvement in these lesions preclude PDR; palliative surgery will be preferred.
56例不同的壶腹和壶腹周围病变接受了胰十二指肠切除术（PDR）。其中有26例壶腹肿瘤、25例胰腺肿瘤和5例胆管肿瘤。对切除标本进行回顾性病理研究，得以对所有这些肿瘤的类型、大小和局部区域扩展进行精确分析。这些数据与相同手术治疗后的生存率相关。即使存在淋巴结受累，PDR仍是壶腹肿瘤的首选治疗方法。这种切除疗法在胰腺癌和胆管癌中的结果非常令人失望。这些病变中存在多种危险因素和/或淋巴结受累排除了PDR；姑息性手术将是更好的选择。
