胰十二指肠切除术

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%)。

They were male in 8 eases and female in 14. Pancreatic cystoadenoma was in 14 cases (63.30%) and pancreatic cystoadenocarcinoma in 8(36.3%). It was 1.7:1 between two groups. Tumor at the head of pancreas was 6 cases (27.21%). at body-tail 12 (54.5%). at tail 4 (18.1%). Local resection was performed in one case, pancreatic body-tailectomy pancreatoc1uodenectoni in 3, central pancreatectomy in 2 cases.

男8例，女14例。14例(63.3%)为胰腺囊腺瘤（浆液性6例、黏液性8例），8例(36.3%)为胰腺囊腺癌，两者之比为1.7：l肿瘤位于胰腺头部6例(27.2%)，胰腺体尾部12例(54.5%)，胰腺尾部4例(181%)行胰腺肿瘤局部切除术l例，肤腺体尾部切除术14例，胰头十二指肠切除术3例，胰腺中段切除术2例，囊肿－空肠Roux-Y吻合术1例，T管架桥胆－肠内引流术1例。

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。

Pancreatoduodenectomy may be one of the most complicated operations in general surgery.

胰头十二指肠切除术是普通外科最复杂的手术之一。

Pancreatoduodenectomy has been one of the most complicate operations in general surgery.

胰头十二指肠切除术是普通外科最复杂的手术之一。

How to assess the difficulty and the possibility of pancreatoduodenectomy and to avoid negative laparotomy has been a question that concerns people.

如何在术前评估胰头十二指肠切除的难度和可能性，避免阴性剖腹探查，是当今人们关注的热点。

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。