Gall F, Stadelmann O
Fortschr Med. 1977 Apr 21;95(15):1023-8.
A report is given on 28 resections on patients with chronic pancreatitis with a high frequency of severe destructive lesions in the head of the pancreas. Pseudocysts, single, multiple or extrapancreatic were present in almost 50%. Strictures of the Ductus Wirsungianus were found in 24 cases and 50% had multiple pancreatic stones. In these cases 12 partial and 9 total duodenopancreatectomies and 7 distal resections were performed. All patients with distal resections survived. Only one patient died in the group with partial and total duodenopancreatectomy, which accounts for a postoperative letality of 4.8%. Postoperative there were 4 reoccurrences of pancreatitis, due to further alcohol abusus, 1 patient died from alcohol intoxication. Patients with total seemed to do better than with partial pancreatectomy at a survey 18 months after operation.
报告了28例慢性胰腺炎患者的手术情况，这些患者胰腺头部严重破坏性病变的发生率较高。几乎50%的患者存在假性囊肿，可为单发、多发或胰外假性囊肿。24例患者发现了主胰管狭窄，50%的患者有多个胰腺结石。在这些病例中，进行了12例部分十二指肠胰切除术、9例全十二指肠胰切除术和7例远端切除术。所有接受远端切除术的患者均存活。在接受部分和全十二指肠胰切除术的患者组中，仅1例死亡，术后死亡率为4.8%。术后有4例胰腺炎复发，原因是继续酗酒，1例患者死于酒精中毒。术后18个月的一项调查显示，接受全胰切除术的患者似乎比接受部分胰切除术的患者恢复得更好。
