發(fā)布時(shí)間：2018-08-08 12:23

【摘要】：目的探討巨大腹膜后腫物切除時(shí)聯(lián)合胰十二脂腸切除是否顯著增加手術(shù)風(fēng)險(xiǎn)。方法回顧性分析2015年9月至2016年10月北京大學(xué)腫瘤醫(yī)院軟組織與腹膜后腫瘤中心行巨大腹膜后腫物切除聯(lián)合胰十二指腸切除10例病人臨床資料,總結(jié)其手術(shù)相關(guān)并發(fā)癥及圍手術(shù)期效果。結(jié)果 10例病人均順利切除腫瘤。手術(shù)時(shí)長(zhǎng)為360~1020 min,術(shù)中出血量400~6000 mL,10例病人除聯(lián)合胰十二指腸切除外,均聯(lián)合了結(jié)腸的部分切除,6例聯(lián)合了血管的切除和替代,5例聯(lián)合右腎及右腎上腺的切除,5例行右側(cè)膈肌的部分切除及修補(bǔ),4例聯(lián)合肝臟的切除。術(shù)后發(fā)生B級(jí)以上胰瘺2例,Clavien-DindoⅢa級(jí)以上并發(fā)癥2例,無(wú)圍手術(shù)期死亡病例。結(jié)論腹膜后巨大腫物切除聯(lián)合胰十二指腸切除術(shù)并不顯著增加手術(shù)風(fēng)險(xiǎn),安全可行。
[Abstract]:Objective to investigate whether combined pancreaticoidectomy with resection of giant retroperitoneal tumor significantly increases the risk of operation. Methods from September 2015 to October 2016, the clinical data of 10 patients with giant retroperitoneal mass resection combined with pancreaticoduodenectomy in the soft tissue and retroperitoneal tumor center of Peking University Oncology Hospital were retrospectively analyzed. The operative complications and perioperative effect were summarized. Results all the 10 patients were excised successfully. The operative time was 360m / 1020 min, and the blood loss during the operation was 400 mL and 6000 ml / min, except for pancreaticoduodenectomy. All cases were combined with partial resection of colon (6 cases) combined with vascular resection and replacement (5 cases) with right kidney and right adrenal gland (5 cases) with partial resection of right diaphragm (5 cases) and liver with repair (4 cases). Postoperative complications of above B grade pancreatic fistula occurred in 2 cases with Clavien-Dindo 鈪，

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