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胰十二指肠切除术治疗壶腹周围恶性肿瘤目前已取得很大进展,尤其对胰头癌的治疗,其术后5年生存率已从1985年的3%提高到接近20%[1]。我院外科自1974～1997年,对43例壶腹周围恶性肿瘤施行胰十二指肠切除术,其中55岁以上32例占74.4%。笔者针对高龄病人外科问题探讨其临床治疗特点?
Pancreatoduodenectomy for the treatment of periampullary malignancy has made great progress, especially for the treatment of pancreatic cancer, its postoperative 5-year survival rate has increased from 3% in 1985 to nearly 20% [1] . In our hospital from 1974 to 1997, 43 cases of periampullary malignant tumors underwent pancreaticoduodenectomy, of which 32 cases over the age of 55 accounted for 74.4%. The author discusses the clinical treatment characteristics of senior patients with surgical problems.