壶腹周围肿瘤

[Ampullary and periampullary tumors].

作者信息

Di Bello M G, Giacinti I, Marzano P F, Maturo A, Di Matteo F M, Micacchi M, Petrassi P, Zaccagnino P, Di Curzio B, Polla A, Cappelletti F

机构信息

Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.

出版信息

G Chir. 1997 Oct;18(10):541-3.

PMID:9479959

Abstract

Ninety-eight consecutive patients with ampullary and periampullary carcinoma diagnosed between 1983-1993 were studied retrospectively. Among these patients, 66 had a carcinoma of the head of the pancreas, 10 a carcinoma of the papilla of Vater, 8 a carcinoma of the duodenum, and 14 a carcinoma of the distal common bile duct. Resectability rate ranged from 12% to 90% according to the tumor location and histologic type. Palliative procedures such as laparotomy, biopsy and bilio-digestive bypasses were performed in 27 patients. Curative resections were performed in 24 cases: 20 pancreatoduodenectomies, 2 total pancreatectomies, 1 duodenectomy, 1 common bile duct resection. The results of the surgical treatment as well as mortality and morbidity rates were compared with those of different and larger series.

摘要

对1983年至1993年间连续诊断出的98例壶腹和壶腹周围癌患者进行了回顾性研究。在这些患者中，66例为胰头癌，10例为 Vater 乳头癌，8例为十二指肠癌，14例为远端胆总管癌。根据肿瘤位置和组织学类型，可切除率在12%至90%之间。27例患者接受了剖腹术、活检和胆肠吻合术等姑息性手术。24例患者进行了根治性切除：20例胰十二指肠切除术，2例全胰切除术，1例十二指肠切除术，1例胆总管切除术。将手术治疗结果以及死亡率和发病率与不同的更大系列的结果进行了比较。