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目的总结逆行胰体尾切除在进展期胃癌手术中运用的效果。方法回顾分析逆行胰体尾切除术的11例进展期胃癌患者的临床资料。结果 11例均完整切除肿瘤及受累组织,达到R0根治标准。手术时间(3.0±0.5)h,术中出血少;术后恢复良好,无严重并发症。结论在进展期胃癌手术中,逆行胰体尾切除是在胰后间隙分离,易于先断血管及脾胰体尾切除,能保持原位切除肿瘤,避免因挤压引起肿瘤经血管、淋巴管扩散,减少手术出血,缩短手术时间。
Objective To summarize the effect of retrograde pancreatic tail resection in the treatment of advanced gastric cancer. Methods The clinical data of 11 patients with advanced gastric cancer underwent retrograde pancreatic tail resection were retrospectively analyzed. Results All the 11 cases had complete resection of the tumor and affected tissues, reaching the standard of R0 radical treatment. Surgery time (3.0 ± 0.5) h, less bleeding; postoperative recovery was good, no serious complications. Conclusions In advanced gastric cancer surgery, retrograde pancreatic body tail resection is separated in the posterior pancreas. It is easy to sever the blood vessels and resect the spleen and pancreas, and can keep the tumor resected in situ and avoid the spread of tumor, blood vessel and lymphatic vessel , Reduce surgical bleeding, shorten the operation time.