十二指肠切除术

Results 206 example patients after the stomach big excision method, including 28 people to have the complication, the complication distribution are as follows: Falls the syndrome 5 casses; The duodenum remnant end bursts 4 casses; After ulcer recrudescence, the stomach evacuation barrier, the technique obstruct, the denutrition each 3 casses; After the technique bleeds, remnant stomach cancer each 2 casses; The alkalinity returns flows gastritis, the diarrhea, lips heal fistula each 1 example.206 example patients carry on the technique effect evaluation after the Visk graduation standard, among Ⅰ Level 80 casses,Ⅱ Level 102 casses;Ⅲ Level 14 casses;Ⅳ Level 10 casses.

手术人员一方面必须非常熟悉胃十二指肠及其临近器官的正常解剖结构，并在此理论基础指导下进行手术，另一方面还必须具备扎实过硬的操作和对病人高度负责的职业态度，这样才可能尽量避免术中邻近脏器的损伤和线结被剪断，术后缝线脱落，以及减少出血等情况的发生。在施行胃大部切除术时，对切除胃的范围还没有一个精确的定量手段，只能根据临床经验进行掌握。胃切除过多，术后会导致病人胃肠功能不足，出现营养不良，甚至可以出现粒细胞减少而引起腹泻。切除胃过少又可能达不到治疗目的，出现原发病的复发，如溃疡复发，残胃癌等。

Result:This example main clinical manifestation for the abdominal pain, the platoon is black then, epigastrium CT, the magnetic resonance and the gastroscopy prompt the duodenum tumor, the good duodenum tumor excision method, after the technique the pathology inspection shows the duodenum fusiform shape cell lump, the immunity group result shows tumor cell CD117, CD34, the union protein, the S-100 protein, the muscle moves the protein, finally diagnoses for the duodenum benignity the nature lump.

结果：该例主要临床表现为腹痛、排黑便，上腹部CT、磁共振和胃镜检查均提示十二指肠肿瘤，行十二指肠肿瘤切除术，术后病理检查示十二指肠梭形细胞瘤，免疫组化结果示肿瘤细胞CD117，CD34，结合蛋白，S-100蛋白，肌动蛋白，最后确诊为十二指肠良性间质瘤。

Fifteen patients underwent operation, including gastrostomy (6 cases), gastrotomy (4 cases), partial gastric fundus resection (2 cases), others operations (2 case), and laparotomy exploration (1 case); among them four patient died.

手术治疗15例，包括胃切开减压、胃造口术（6例），胃切开减压后再缝合创口（3例），胃切开减压、胃造口、空肠造口术（1例），胃底部分切除术（2例），十二指肠空肠吻合术（1例），空肠造口术（1例），开腹探查术未切开胃壁（1例），死亡4例(26.7%)。

Results All cases underwent surgical treatment; of them, local excision, partial pancreatectomy, pancreaticoduodenectomy, internal drainage and biopsy occurred in 14, 7, 3, 2 and 2 cases, respectively. Only 2 cases developed pancreatic fistula.

结果 28例非功能性胰岛细胞瘤术前定位和手术切除，其中14例行局部切除，7例行胰体尾部切除，3例行胰十二指肠切除，2例行囊肿内引流术，2例行活检术；全组术后并发胰瘘2例(7.1%)。

Methods Laparoscopic operation was employed on 42 patients of gastroduodenal diseases, including benign gastric tumor resection (14 cases), perforated gastroduodenal ulcer repair (11 cases), partial stomach resection (10 cases), highly selective vagotomy(7 cases).

方法腹腔镜手术组为胃十二指肠疾病患者42例，其中胃壁良性肿瘤切除术14例、胃十二指肠溃疡穿孔修补术11例、胃大部切除术10例、高选择性迷走神经切断术7例，应用腹腔镜技术行手术治疗。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy.

结果：本组中，术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高，胃镜、上消化道造影是诊断本病有价值的方法，经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Results The incidence of gastroparesis was higher in patients with chronic outlet obstruction before the operation or malignancy, andpatients receiving Whipple procedure or non-gastrectomy gastrojejunostomy. Gastroscopy and upper gastrointestinal series served as a valuable measurement in diagnosis. In general, GI motility could be restored after 5 weeks of conservative therapies.

结果：本组中，术前长期流出道梗阻、恶性肿瘤、胰十二指肠切除术后、无胃切除的胃空肠吻合术的患者发病率较高，胃镜、上消化道造影是诊断本病有价值的方法，经保守治疗后胃肠动力一般可在术后5周内恢复正常。

Dissection of pancreatic neck and fiberboard in pancreatoduodenectomy.

钟德玝。胰十二指肠切除术中的胰颈与纤维板的切断。

Objective: Probe into the prevention of the pancreas duodenum method and complication of excising the skill.

目的：探讨胰十二指肠切除术的方法及并发症的预防。

Analyse the reviewing to the case of excising the skill of 24 cases of pancreas duodenum.

对24例胰十二指肠切除术的病例进行回顾性分析。

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。