乳头胆管切除术在壶腹周围区域黏膜肿瘤手术治疗中的应用
Papillo-choledochectomy in the operative management of mucosal neoplasms of the periampullary region.
作者信息
Kasahara K, Saito K, Kondo Y, Yasuda T, Yasuda Y, Nakada M, Nagai H, Kanazawa K
机构信息
Department of Surgery, Jichi Medical School, Tochigi, Japan.
出版信息
HPB Surg. 1993;6(3):211-6; discussion 216-7. doi: 10.1155/1993/43212.
Two patients with mucosal cancer of the periampullary region were treated with papillo-choledochectomy, which entails removal of the papilla of Vater and the whole length of the common bile duct. The neoplasm is dissected out through the plane between the duodenal circular and longitudinal muscles, deep to the sphincter of Oddi and the fibromuscular layer of the bile duct. Pathological examination showed that cancer was confined to the mucosal layer without stromal invasion, and that the operation achieved radical cure. For mucosal cancer, papillo-choledochectomy is an alternative to pancreatoduodenectomy, provided that repeated frozen-section studies confirm the completeness of excision.
两名壶腹周围区域黏膜癌患者接受了乳头胆管切除术，该手术需要切除十二指肠乳头和胆总管全长。肿瘤通过十二指肠环行肌和纵行肌之间的平面切除，该平面位于Oddi括约肌和胆管纤维肌层的深部。病理检查显示癌症局限于黏膜层，无间质浸润，手术实现了根治性切除。对于黏膜癌，若反复冰冻切片检查证实切除彻底，乳头胆管切除术可作为胰十二指肠切除术的替代方案。
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