肝十二指肠的

Stress Ulcer indicates that the Superficial mucosal locates stomach、duodenum congests., debaucjeds and cankers acutely. SU usually occurs at the mucosal of gastric bottom and body. along with the development of pathological changes, SU can spread to gastric antrum 、 duodenum, e"en mucosal of oesophagus" s bottom, even presents emanatory focus. Su generally appears to the critical patient of central nerve system damnification severe wounds blood poisoning、 shock、 the functional debility of heart、 lung、 liver、 kidney etc or after the big operation. The occurrence rate of Su in intensive care unit reachs 60%, it is one of the hackneyed severe syndrome in ICU , and its death rate is relatively high.

应激性溃疡(Stress ulcer，SU)是指位于胃、十二指肠的急性表浅性粘膜充血、糜烂和溃疡，通常发生在胃底、胃体部粘膜，随着病变的发展，病变可扩展至胃窦、十二指肠，甚至食管下端粘膜，且呈现散发性病灶，该病多见于中枢神经系统损伤、严重创伤、败血症、休克、心肺肝肾等多器官功能衰竭及大手术后等危重病人，其在重症监护室的发生率达60%，是ICU中多见的严重并发症之一，并有较高的死亡率。

There are stretched and converging mesenteric vessels between the portal vein in the hepatoduodenal ligament and the inferior vena cava.

下腔静脉和肝十二指肠韧带内的门静脉之间见拉长和会聚的肠系膜血管。

Five patterns of perineural invasion were observed and 3 nerve plexuses in the hepatoduodenal ligament and Glisson sheath were found.

肿瘤浸润神经有5种方式，肝十二指肠韧带与一、二级肝管所在的Glisson鞘内分布的神经丛主要有3丛。

Methods Pathological sections from 68 patients with hilar cholangiocarcinoma were observed by microscope and the distribution of nerve plexuses in normal hepatoduodenal ligament was analyzed based on the observation of 40 histological sections from 5 autopsy cases.

观察68例肝门部胆管癌患者的病理切片，总结归纳肿瘤神经浸润的方式和规律；分析5例尸检标本正常肝十二指肠韧带内的神经

Methods Pathological sections from 68 patients with hilar cholangiocarcinoma were observed by microscope and the distribution of nerve plexuses in normal hepatoduodenal ligament was analyzed based on the observation of 40 histological sections from 5 autopsy cases.

观察68例肝门部胆管癌患者的病理切片，总结归纳肿瘤神经浸润的方式和规律；分析5例尸检标本正常肝十二指肠韧带内的神经丛分布特点。

UICC stage, surgical procedure, lymphatic invasion and hepatoduodenal ligament invasion are the independent significant prognostic factors for gallbladder carcinoma.

UICC分期、手术方式、肿瘤淋巴管浸润和肝十二指肠韧带侵犯是胆囊癌患者的独立预后因素。

In the multivariate analysis, the independent prognostic factors were UICC stage, surgical procedure, lymphatic invasion and hepatoduodenal ligament invasion.

经Cox多因素回归分析，按照其作用强度得出影响胆囊癌患者生存时间的独立预后因素依次为：UICC分期、手术方式、肿瘤淋巴管浸润和肝十二指肠韧带侵犯。

BACKGROUND: The incidence and mode of spread of carcinoma of the gallbladder into the hepatoduodenal ligament hae not been well described pathologically for gallbladder carcinoma extending into the subserosa and beyond.

针对局部晚期胆囊癌，肝外胆管应该被切除吗？由于胆囊癌易浸及浆膜下层及其以外的部分，进入肝十二指肠韧带内的胆囊癌的转移方式和发生率在病理学上没有得到很好的叙述。

Complete resection was achieved in all cases, including pancreatoduodenectomy in 13 cases, by pylorus-preserving pancreatoduodenectomy in 3 cases, and tumor enucleation in 7 cases.

行胰十二指肠切除术13例，其中4例合并右半结肠切除术，1例合并右肝转移灶切除，2例合并右肝脓肿引流术；行保留幽门的胰十二指肠切除术3例；行肿瘤局部切除术7例。

Methods A patient of the gallbladder cancer with invasion of liver, gastric antrum, duodenum, caput pancreatis and colon transversum, was received radical resection (including pancreatoduodenectomy, hepatectomy and colectomy).

胆囊癌患者1例合并有中肝叶、胃窦、十二指肠、胰头及横结肠的广泛侵犯。经充分的术前准备，我们为其施行了根治性切除术，即胰十二指肠切除术+中肝叶切除术+横结肠切除术。

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。