胰腺癌患者手术治疗并发症分析。

Nikita Mikolenko
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摘要

胰腺癌(PPC)的主要治疗方法是手术。胰腺的地形,其与主动脉、门静脉、下腔静脉的直接接触是胰腺癌发病的危险因素,即使肿瘤相对较小。通常情况下,如果肿瘤侵犯邻近的解剖结构,就需要对邻近的血管进行重建干预,从而增加了手术干预的复杂性和手术效果。胰头癌的首选手术是胃-胰-十二指肠切除术,胰尾恶性肿瘤的首选手术是胰腺远端切除加脾切除术。这些手术,尤其是胃-胰十二指肠切除术,并发症和死亡率都很高。破坏性胰腺炎(DP)和胰腺消化道吻合术失败等并发症仍是死亡的主要原因。本文将分析我们在实践中遇到的各种并发症。
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Analysis of complications of surgical treatment of patients diagnosed with pancreatic cancer.
The main treatment for pancreatic cancer (PPC) is surgery. The topography of the pancreas, its direct contact with the aorta, portal vein, inferior vena cava is a risk factor for the prevalence of the process, even with relatively small tumor sizes. Often, invasion into neighboring anatomical structures requires reconstructive intervention on adjacent vessels, aggravating the complexity of surgical intervention and its outcomes. The operation of choice for cancer of the head of the pancreas is gastropacreatoduodenal resection, and for a malignant tumor of the tail, distal resection of the pancreas with splenectomy. These operations, especially GPDR, are characterized by a high level of complications and mortality. Complications such as destructive pancreatitis (DP) and failure of the pancreatodigestive anastomosis remain the main cause of death. In our article, we will analyze the various complications that we encountered in our practice.
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