胰腺體尾部腫瘤切除70例報告.pdf

1、 碩士專業(yè)學(xué)位論文 論文題目 胰腺體尾部腫瘤切除 胰腺體尾部腫瘤切除 70 例報告 例報告 研 究 生 姓 名 韓潮 指導(dǎo)教師姓名 李軍成 專 業(yè) 名 稱 普通外科 研 究 方 向 胰腺病學(xué) 論文提交日期 2013 年 3 月 胰腺體尾部腫瘤切除 70 例報告 英文摘要 The distal pancreastectomy: A report of 70 cases Abstract Objective: To furth

2、er understand the clinical and pathological features of the space- occupying lesions of the body and tail of the pancreas; explore the improvements of Surgical Oncology efficacy, and research to improve the treatment of

3、tumor in the body and tail of the pancreas to guide clinical practice. Methods: The clinical data of 70 patients that received surgical resection of pancreatic-body-or-tail tumor from January, 1993 to Decembe, 2012 in th

4、e Second Affiliated Hospital of Soochow University were analyzed retrospectively. Results: Among them, 23 cases of adenocarcinoma, 2 cases of cystadenocarcinoma, 1 case of corpora mammillaria-Tubular adenocarcinoma, 1 c

5、ase of adenosquamous Carcinoma, 16 cases of metastatic carcinoma, 4 cases of insulinoma, 1 case of non- functioning islet cell tumor, 7 cases of cystadenoma, 1 case of Solid pseudo-papillary tumor, 5 cases of pseudocyst,

6、 4 cases of pancreatic cyst, 2 cases of papillary hyperplasia,2 cases of chronic pancreatitis, 1 case of unknown-origin neuroendocrine tumor were included. The 43 Malignancy patients received surgical resection, 31 of wh

7、ich was radical resection, 12 was palliative resection. Among the 27 benign ones, 22 cases completed distal pancreastectomy, 13 of which was Spleen-preserving distal pancreastectomy and 2 was laparoscopic distal pancreas

8、tectomy; 2 cases received pancreatic segmental resection, 3 received pancreatic tail resection surgery or tumor local excavation.There were no postoperative deaths, pancreatic fistula occurred in 5 patients, and was cure

9、d within 2～3 weeks by non-operative treatment. Conclusion: The most effective treatment of pancreatic-body-or-tail malignant tumor is surgical operation, the key to improve the prognosis of the patients is to improve th

10、e radical resection rate. Spleen-preserving distal pancreastectomy is the preferred procedure for certain benign lesions of pancreatic body or tail that are not candidates for enucleation. This procedure has good result