查詢結果分析
來源資料
頁籤選單縮合
題 名 | Comparison of Pylorus-Preserving and Classic Pancreaticoduodenectomy=保留幽門式和傳統式胰十二指腸切除術之比較 |
---|---|
作 者 | 王定宇; 石宜銘; 蘇正熙; 吳秋文; 雷永耀; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:3 1999.03[民88.03] |
頁 次 | 頁152-158 |
分類號 | 416.24 |
關鍵詞 | 胰臟及十二指腸切除術; 壺腹周圍癌; Pancreaticoduodenectomy; Periampullary cancer; |
語 文 | 英文(English) |
英文摘要 | BACKGROUND: The authors present their recent experience with the treatment of periampullary lesions to compare the surgical technique, safety and prognosis between pylorus-preserving pancreaticoduodenectomy (PPPD) and classic pancreaticoduodenectomy (CPD). METHODS: Prospective data from 100 patients with periampullary lesions treated with either PPPD or CPD between January, 1991, and June, 1997, were evaluated, including demographic data, surgical technique, surgical risk and prognosis. RESULTS: There were 35 patients treated with PPPD and 65 treated with CPD. The operating time was significantly shorter in the PPPD group (9.3 +/- 0.3 hours) than in CPD (10.4 +/- 0.3 hours). The average overall blood loss was 1,275 +/- 71 ml, with no statistical difference between PPPD and CPD groups. The overall complication rate was 56%, with 54% in the PPPD group and 57% in the CPD group (p = 0.755). The overall mortality was 4%, with 0% in the PPPD group and 6.2% in CPD (p = 0.655). There was no statistical difference in survival time for overall periampullary cancers between the PPPD and CPD groups (median = 28.0 vs 26.5 months, p = 0.393). The difference in survival time was still of no significance between the PPPD and CPD groups when the periampullary cancers were further stratified into pancreatic head cancer and nonpancreatic periampullary cancer. CONCLUSIONS: Morbidity and mortality of PPPD did not exceed that of CPD, and the prognosis after PPPD was not compromised in patients with periampullary cancer. PPPD, with a shorter operating time, can be a safe and effective alternative to CPD in the treatment of periampullary lesions. |
本系統中英文摘要資訊取自各篇刊載內容。