十二指肠切除术

Objective To analyze the postoperative recovery after pylorus preserving pancreaticoduodenectomy versus conventional Whipple operation.

目的 分析保留幽门胰十二指肠切除术与Whipple手术在围手术期恢复情况。方法将 49例PPPD与同期 63例Whipple术后恢复情况作对照比较。

I had a Whipple surgery on Sept 19th, 2006; Dr.

我在 2006年 9月 19日接受了胰十二指肠切除术；赫伯特。

I had a Whipple surgery on Sept 19th, 2006; Dr. Herbert Zeh

我在 2006年 9月 19日接受了胰十二指肠切除术；赫伯特。

Methods : Clinical data of 68 patients undergoing pancreato- duodenectomy in our hospital from January 2002 to December 2007 were collected and analyzed retrospectively.

回顾2002年01月至2007年12月重庆医科大学附属第二医院共68例胰十二指肠切除术的临床资料，分析早期并发症发生、处理情况及相关影响因素。

The anatomical detect skill and mosquito clamp cross technique to peel off invasived vascular were adopted.58patients were undergone pancreatico duodenectomy,and the rate of resects was95%.The cases of near to the invasived vascular malignant tissue was41,and the cases of the lymph node metastasis was27,and the cases of around pancreatic nerve was30.1case died of bleeding,and the morbidity of complication was found in14cases,and no patients occurred fistula.

病例报告］回顾性分析 2003年9月―2006年6月间收治的61例壶腹部周围癌病人临床资料，采用解剖性探查及纹式钳勾划技术，给58例病人施行了一次性胰十二指肠切除术，手术切除率为95%，其中41例癌细胞侵入周边大血管，27例发生淋巴结转移，30例癌细胞侵入胰周神经丛。58例手术患者中围手术期死亡1例，出现并发症者为14例，未见并发胰漏及胆漏病例。

AIM: To prevent postoperative pancreatic leakage by applying modified Child pancreaticojejunostomy in pancraticoduodenectomy patients due to severe pancreaticoduodenal injury.

目的：采用改良Child胰肠吻合对胰肠吻合缝合技术进行改进，对严重的胰头、十二指肠损伤患者急诊行胰十二指肠切除术，预防胰漏发生。

METHODS: In two severe pancreaticoduodenal injury patients, pancraticoduodenectomy was performed by modified Child pancreaticojejunostomy with 40 Prolene line continuous suture.

对2例胰十二指肠切除术患者，采用40 Prolene线双层胰肠端端套入式连续吻合。

This study was performed to analyze the outcome after local resection and pancreatoduodenectomy and to identify predictie factors for surial.

本研究目的是分析壶腹部肿瘤局部切除或胰十二指肠切除术的预后，并探讨影响生存率的预后因素。

Key words］pancreatic tumor;duodenal tumor;pancreatoduodenectomy;vascular reconstruction;vascular prosthesis

关键词］胰头肿瘤；十二指肠肿瘤；胰十二指肠切除术；人工血管；血管重建

Duodenal neoplasms ; Pancreatoduodenectomy ; Pathology ; clinical ; Prognosis

十二指肠肿瘤；胰十二指肠切除术；病理学；临床；预后

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。