Extended Pancreatoduodenectomy Combined with Superior Mesenteric Artery Resection and Reconstruction (Report of 1 Case)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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王文涛严律南赵纪春和红阳 ¹

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胰十二指肠切除术肠系膜上动脉

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目的　探讨胰头癌侵犯肠系膜上动脉时行根治性切除的可行性。方法　采用联合将受侵犯的肠系膜上动脉一并切除的胰十二指肠切除术，肠系膜上动脉断端与腹主动脉端侧吻合方式重建。结果　患者术后恢复顺利，已随访14个月，仍存活。结论　肠系膜上动脉侵犯的胰头癌仍可行扩大的胰十二指肠切除术，并可延长患者的生存时间和提高生活质量。

Citation： 王文涛严律南赵纪春和红阳. Extended Pancreatoduodenectomy Combined with Superior Mesenteric Artery Resection and Reconstruction (Report of 1 Case). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(5): 529-530. doi: Copy

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4.	Fuhrman GM, Leach SD, Staley CA, et al. Rationale for en bloc vein resection in the treatment of pancreatic adenocarcinoma adherent to the superior mesenteric-portal vein confluence. Pancreatic Tumor Study Group [Ｊ]. Ann Surg, 1996; 223(2)∶154.
5.	Capussotti L, Massucco P, Ribero D, et al. Extended lymphadenectomy and vein resection for pancreatic head cancer: outcomes and implications for therapy [Ｊ]. Arch Surg, 2003; 138(12)∶1316.
6.	陈明清,　张国珠,　李云峰，等. 胰腺癌根治术时受侵肠系膜上动脉的切除并重建二例报告 [Ｊ]. 中华普通外科杂志, 1999; 14(2)∶159.
7.	戈小虎, 陈福真, 赵大健, 等. 胰十二指肠联合血管切除和重建治疗胰头部恶性肿瘤 [Ｊ]. 中华普通外科杂志, 2004; 19(1)∶37.
8.	Lim JE, Chien MW, Earle CC. Prognostic factors following curative resection for pancreatic adenocarcinoma: a population-based, linked database analysis of 396 patients [Ｊ]. Ann Surg, 2003; 237(1)∶74.

1. 　曾　勇, 王文涛, 严律南, 等. 提高胰腺癌治疗效果的探讨(附5年经验总结) [Ｊ]. 中华肝胆外科杂志， 2003; 9(3)∶131.
2. 　严律南. 胰头癌扩大切除利弊的探讨 [Ｊ]. 中华肝胆外科杂志， 2002; 8(9)∶533.
3. 　Fortner JG. Regional resection of cancer of the pancreas: a new surgical approach [Ｊ]. Surgery, 1973; 73(2)∶307.
4. 　Fuhrman GM, Leach SD, Staley CA, et al. Rationale for en bloc vein resection in the treatment of pancreatic adenocarcinoma adherent to the superior mesenteric-portal vein confluence. Pancreatic Tumor Study Group [Ｊ]. Ann Surg, 1996; 223(2)∶154.
5. 　 Capussotti L, Massucco P, Ribero D, et al. Extended lymphadenectomy and vein resection for pancreatic head cancer: outcomes and implications for therapy [Ｊ]. Arch Surg, 2003; 138(12)∶1316.
6. 　陈明清,　张国珠,　李云峰，等. 胰腺癌根治术时受侵肠系膜上动脉的切除并重建二例报告 [Ｊ]. 中华普通外科杂志, 1999; 14(2)∶159.
7. 　戈小虎, 陈福真, 赵大健, 等. 胰十二指肠联合血管切除和重建治疗胰头部恶性肿瘤 [Ｊ]. 中华普通外科杂志, 2004; 19(1)∶37.
8. 　Lim JE, Chien MW, Earle CC. Prognostic factors following curative resection for pancreatic adenocarcinoma: a population-based, linked database analysis of 396 patients [Ｊ]. Ann Surg, 2003; 237(1)∶74.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Extended Pancreatoduodenectomy Combined with Superior Mesenteric Artery Resection and Reconstruction (Report of 1 Case)

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