摘要
胰十二指肠切除术(PD)是治疗胰头肿块性疾病的经典术式,但对于慢性胰腺炎和胰头部良性、交界性及低度恶性肿瘤的外科治疗是否采用PD治疗一直存在争议。保留十二指肠胰头切除术(DPPHR)在切除胰腺病变的同时能保护消化道的完整和功能的恢复,目前DPPHR已作为"器官保留胰腺手术"而日益被临床接受。该文对DPPHR的适应证、手术要点、术后并发症及术式选择进行阐述。
Pancreaticoduodenectomy（PD） is a classic surgical treatment of pancreatic head tumor diseases.However,it is still controversial whether to adopt the PD for chronic pancreatitis,and benign,borderline or low-grade malignant pancreatic head tumor disease.Compared with PD,dodenum-preserving pancreatic head resection（DPPHR） has the advantages of preserving the integrity of digestive tract,and improving postoperative life quality.This organ-preserving procedure has recently been more accepted in clinical.Here is to make a review of the indications,key points,postoperative complications and surgical manner options of DPPHR.
出处
《医学综述》
2013年第15期2762-2764,共3页
Medical Recapitulate
基金
国家自然科学基金面上项目(81170453)
关键词
保留十二指肠胰头切除术
慢性胰腺炎
胰腺肿瘤
Dodenum-preserving pancreatic head resection
Chronic pancreatitis
Pancreatic tumor
