摘要
目的 探讨 70岁以上壶腹周围癌患者行胰十二指肠切除的指征和疗效。方法 对 2 7例年龄超过 70岁的壶腹周围癌患者 ,行胰十二指肠切除治疗后的临床病例资料进行回顾性分析。结果 术后外科并发症 12例 ( 44.4% ) ,包括腹腔内出血 3例 ,消化道出血 2例 ,胰瘘 3例 ,胃潴留 4例 ,切口裂开及感染 3例 ,其中 3例 ( 11.1% )在术后 30天内死亡。平均生存 15 .3个月 (除外 8例术后 18个月仍健在者 )。有 4例生存超过 3年 ,3年生存率 2 1.0 % ( 4/ 19)。结论 患者年龄因素不是胰十二指肠切除的禁忌证 ,胰十二指肠切除是治疗
Objective To investigate the indications and therapeutic effects of pancreaticoduodenectomy in patients more than 70 years old with periampullary cancer.Methods A retrospective analysis of 27 consecutive patients more than 70 years old who had underwent pancreaticoduodenectomies from Jan 1995 to June 2002 was made.Results Postoperative complications occurred in 12 patients(44.4%),including 3 cases of intraabdominal bleedings,2 gastrointestinal bleedings,3 pancreatic leakages,4 gastroparalysis and 3 wound infections.Three patients(11.1%) died within 30 days postoperatively.The average survival time was 15.3 months except for 8 patients who are still alive 18 months aften operation.Four patients survived more than 3 years with 3-year survival rate of 21.0%(4/19).Conclusion Old people is not a contraindication of pancreaticoduodenectomy.Pancreaticoduodenectomy is an effective method for patients more than 70 years of age with periampullary cancer.
出处
《实用癌症杂志》
2003年第3期280-281,共2页
The Practical Journal of Cancer
