Mangold G, Neher M, Oswald B, Wagner G
Dtsch Med Wochenschr. 1977 Feb 18;102(7):229-34. doi: 10.1055/s-0028-1104870.
A total of 201 patients with chronic pancreatitis were treated surgically between 1964 and 1975. In 116 cases (57,7%) resection was done at operation: 44 partial and 18 total duodenopancreatectomies, 37 partial and 17 subtotal left pancreatic resections. The mortality rate of the operation was 12.9%. The late mortality was 9.4% based on an average observation period of 2 7/12 years. Three quarters of the patients became completely asymptomatic. Preoperative diabetes was observed in 21% rising to 38% postoperatively. Satisfactory long-term results were mainly seen after partial duodeno-pancreatectomy and subtotal left resection. However, continued alcohol abuse limits the success rate.
1964年至1975年间,共有201例慢性胰腺炎患者接受了手术治疗。其中116例(57.7%)在手术中进行了切除:44例部分十二指肠胰腺切除术和18例全十二指肠胰腺切除术,37例部分左胰腺切除术和17例次全左胰腺切除术。手术死亡率为12.9%。基于平均2又7/12年的观察期,晚期死亡率为9.4%。四分之三的患者完全无症状。术前糖尿病发生率为21%,术后升至38%。部分十二指肠胰腺切除术和次全左胰腺切除术后主要获得了满意的长期效果。然而,持续酗酒会限制成功率。