医学
胰十二指肠切除术
外科
胰腺癌
死亡率
存活率
幽门
空肠造口术
胰十二指肠切除术
普通外科
治愈率
癌症
切除术
胃
内科学
肠外营养
作者
Livingston Eh,Welton Ml,Reber Ha
出处
期刊:International Journal of Pancreatology
日期:1991-06-01
卷期号:9 (1): 153-157
被引量:75
摘要
About 28,000 new cases of pancreatic cancer are diagnosed yearly in the United States. The diagnosis is now made up to two months more quickly than just a few years ago, but this has had no impact on survival. In most institutions, 20-25% of patients have resectable lesions. The standard operation is still the Whipple pancreaticoduodenectomy, but many surgeons now use the pylorus preserving modification of that procedure. The operative mortality rate has fallen to <5%. The five-year survival rate after a resection for attempted cure is about 9%. Palliation requires cholecysto(docho)jejunostomy and gastrojejunostomy, which is often done prophylactically. The operative mortality rate in patients undergoing palliation is < 10% (recent UCLA experience), and the average survival is seven months.
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