摘要
胰头部与十二指肠关系密切,既往行胰头切除时同时切除十二指肠,被认为是不可避免的。1972年Beger等首先为慢性胰腺炎施行保留十二指肠胰头切除术(DPPHR,Beger手术),有较高长时间的疼痛缓解率。Imaizimi等于1990年报道改良的Beger手术,施行保留十二指肠胰头全切除术(DPTPHR),主要用于无须行淋巴结清扫的胰头部低度恶性肿瘤。保留十二指肠胰头切除仅切除胰头病灶,不破坏消化道解剖连续性和生理功能,改善了术后生活质量。近年来,保留十二指肠胰头切除术在临床上得到比较广泛的应用,令人关注。
There is a close relationship anatomically between pancreatic head and duodenum. It was known previously that it was inevitable to reseet pancreatic head together with duodenum. Beger firstly reported duodenum-preserving pancreatic head resection （DPPHR） for the patient with chronic panereatitis in 1972. Imaizimi reported modified Beger s operation, duodenum-preserving total pancreatic head resection （DPTPHR） for the patient with low-degree malignant tumor of pancreatic head without lymph nodes clearance in 1990. DPPHR resect only focus of pancreatic head, do not destroy continuous instruction of digest tract, and improve postoperative life quality. Recently, DPPHR has been extensively used in surgical clinics.
出处
《中国实用外科杂志》
CSCD
北大核心
2009年第8期644-646,共3页
Chinese Journal of Practical Surgery
