| Dongfang Huang. Modified Appleby operation for carcinoma of the pancreatic body and tail. Oncol Transl Med, 2020, 6: 182-184. |
| 改良式Appleby手术治疗恶性胰体尾肿瘤一例 |
| Modified Appleby operation for carcinoma of the pancreatic body and tail |
| Received:April 28, 2020 Revised:July 05, 2020 |
| DOI：10.1007/s10330-020-0423-3 |
| 中文关键词: 改良Appleby手术；胰体尾肿瘤；适应证；可行性 |
| 英文关键词: modified Appleby operation; pancreas cancer |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Dongfang Huang* | Department of Hepatobiliary Surgery,The Affiliated Huaian No. 1 People''''s Hospital of Nanjing Medical University,Huaian | dong.fanghuang@163.com |
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| 中文摘要: |
| 通过对1例接受改良Appleby手术的侵犯腹腔干的胰腺肿瘤患者的临床资料进行分析。术前常规行B超、CT及MRI检查，手术时间5h，术中联合胆囊一并切除，出血500ml，术后肝功能一过性升高，经保肝治疗，2周内恢复正常，肝脏有正常动脉血供，术后恢复平稳。胰体尾肿瘤整块切除联合腹腔干切除手术是安全可行的，它可以提高肿瘤的切除率并可缓解疼痛 |
| 英文摘要: |
| This is a case of a pancreatic tumor with invasion of the celiac stem treated using the modified Appleby
operation. Preoperatively, routine B-ultrasound, computed tomography, and magnetic resonance imaging
were performed. In the perioperative period, the combined gallbladder was excised; the duration of the
operation was 5 h and volume of blood loss was approximately 500 ml. Postoperatively, the liver function
temporarily returned and after a liver protection treatment, it returned to normal within 2 weeks. The liver
had normal arterial blood supply, and the postoperative course was uneventful. It is safe and feasible to
resect the whole pancreatic body and tail tumor combined with celiac stem resection. It can improve the
resection rate of tumor and relieve pain. |
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