联合肝总动脉切除的胰体尾癌扩大根治术1111例并文献复习.pdfVIP

联合肝总动脉切除的胰体尾癌扩大根治术1例并文献复习 联合肝总动脉切除的胰体尾癌扩大根治术1例并文献复习 联联合合肝肝总总动动脉脉切切除除的的胰胰体体尾尾癌癌扩扩大大根根治治术术11例例并并文文献献复复习习 崔云甫 姜涛 王志东 韩桂萍1 1 1 2 【摘要】目的 报告1例胰体尾癌侵犯肝总动脉的病人行联合肝总动脉切除的胰体尾癌扩 大根治术并文献复习。方法 诊断为胰体尾癌的病人行联合肝总动脉切除的胰体尾癌扩大根 治术，未行肝总动脉重建。结果 术中见肿瘤包绕肝总动脉，胃十二指肠动脉及肝固有动脉 增粗，切除肿瘤及肝总动脉后肝脏无缺血表现。术后未见缺血相关并发症，随访5个月无复 发。结论 联合腹腔干或肝总动脉切除的胰体尾癌扩大根治术是安全可行的，能够提高胰体 尾癌的手术切除率；必要时需进行肝总动脉重建。 【关键词】胰体部肿瘤；肝总动脉；根治性切除 Distal pancreatectomy combined with resection of common hepatic artery for pancreatic body and tail carcinoma, a case report and literature review CUI Yun-fu,JIANG Tao,WANG Zhi-dong,HAN Gui-ping.Department of Biliary and Pancreatic Surgery,the Second Affiliated Hospital of Harbin Medical University,Harbin,150086,China 【Abstract】Objective To report a case of pancreatic body and tail carcinoma involvement of common hepatic artery with distal pancreatectomy combined with resection of common hepatic artery, and review the relative literatures. Methods The patient diagnosed pancreatic body and tail carcinoma underwent dstal pancreatectomy combined with resection of common hepatic artery without reconstructionofhepaticartary.ResultsDuringoperating,itwasfoundthatcommon hepatic artery entered into the tumor, while gastroduodenal artery and proper hepaticarterywerethickening.Therewasnoischemicphenomenonfortheliverafter resection of the tumor and common hepatic artery. The procedure was successful withoutanyischemicrelatedcomplications,andtherewasnorecurrenceinfollow-up. Conclusions Distal pancreatectomy combined with resection of the celiac axis or common hepatic artery is a safe and effective procedure which can increase resectability of carcinoma of the body and tail of pancreas. Reconstruction of the 1 作者单位： 、150086哈尔滨医科大学附属第二医院胆胰外科 2、150086 哈尔滨医科大学附属第二医院病 理科 通讯作者：崔云甫，E-mail:yfcui777@Tel 195／581 hepatic artery should be performed whenever necessary.