| 联合门静脉/肠系膜上静脉切除的胰头癌根治术(附2例临床分析) |
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| 引用本文： | 石欣,高乃荣,赵刚,李国强,周家华. 联合门静脉/肠系膜上静脉切除的胰头癌根治术(附2例临床分析)[J]. 东南大学学报(医学版), 2006, 25(6): 451-453 |
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| 作者姓名： | 石欣 高乃荣 赵刚 李国强 周家华 |
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| 作者单位： | 东南大学附属中大医院,普外科,江苏,南京,210009;东南大学附属中大医院,普外科,江苏,南京,210009;东南大学附属中大医院,普外科,江苏,南京,210009;东南大学附属中大医院,普外科,江苏,南京,210009;东南大学附属中大医院,普外科,江苏,南京,210009 |
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| 摘 要： | 目的：探讨胰腺癌根治手术中肿瘤侵犯门静脉和（或）肠系膜上静脉（PV／SMV）的处理方法，以提高胰腺癌的手术切除率。方法：回顾2005年1至7月进展期胰腺癌施行联合PV／SMV部分切除的胰头癌根治术2例的临床资料。结果：2例均行血管节段切除，患者均未发生血管栓塞、肠坏死、肝衰竭等并发症。结论：对于癌肿侵犯门静脉系统的胰头癌患者，施行舍PV／SMV的联合切除术是必要和安全的。
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| 关 键 词： | 胰头癌 胰十二指肠切除术 门静脉 肠系膜上静脉 |
| 文章编号： | 1671-6264(2006)06-0451-03 |
| 修稿时间： | 2006-01-19 |
Mesenteric vein invaded:2 cases report radical operation for pancreatic cancer with portal vein /superior |
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| SHI Xin,GAO Nai-rong,ZHAO Gang,LI Guo-qiang,ZHOU Jia-hua. Mesenteric vein invaded:2 cases report radical operation for pancreatic cancer with portal vein /superior[J]. Journal of Southeast Univ: Medical Sci Ed, 2006, 25(6): 451-453 |
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| Authors: | SHI Xin GAO Nai-rong ZHAO Gang LI Guo-qiang ZHOU Jia-hua |
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| Abstract: | Objective To evaluate the treatment for pancreatic cancer with portal vein(PV) and/or superior mesenteric vein(SMV) invaded.Method Two patients with locally advanced pancreatic carcinoma invading PV/SMV received an en bloc resection including the invaded PV/SMV.Results Two cases got segment resection of the blood vessel.No embolization,intestinal necrosis or hepatic failure was found in the two cases after operation.Conclusion If there is no contraindication,pancreaticoduodenectomy with en bloc resection of invaded PV/SMV seems to be necessary and safe. |
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| Keywords: | pancreatic head carcinoma pancreaticoduodenectomy portal vein superior mesenteric vein |
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