How does pancreas cancer treat _'s treatment
(1) Surgical treatment
Pancreas cancer lacks obvious symptom in early days, most cases have already been later period when made a definite diagnosis of, there are few chances excised in operation. Range that the surgical treatment needs to different disease one and tumour focus part infringes, take different operation ways.
1.The pancreas duodenum excises the skill
Tumour lie in the intersection of pancreas and head, have liver door, arteria coeliaca to do around, shift by the intersection of mesenterium and root and lymph node at a distance, without infringement of artery or lower vena cava on liver artery, mesenterium, have not invaded part invading and portal vein, transformation to have internal organs, can do pancreas 2. The duodenum excises the skill.
2.The pancreas duodenum which keeps pylorus excises the skill
Pancreas the intersection of head and cancer implement the intersection of pancreas and duodenum to keep pylorus it excises essential conditions of skill to be: Pathological change has not infringed pylorus and duodenum ball yet. There is no pylorus lymph node to shift. In addition, the pancreas head tumour (gland cancer of bag, Langerhans' islits cell cancer, gland bubble cell cancer,etc.) that the malignant intensity is low Can also implement the pancreas duodenum which keeps pylorus and excise the skill.
3.Pancreas cancer operation amalgamating the blood vessel and excising
Thought was that an operation excised taboo disease that the venous system was infringed by tumour on portal vein and mesenterium in the past, so, the excising rate of operation is lower. The past 20 years, with skill, the intersection of skill and enhancement and the intersection of operation and rise of operating technology of aftertreatment, tumour infringes the door venous system and no longer becomes taboo disease excised in operation, this kind of method has improved the excising rate of operation of cancer around pancreas cancer or pot belly obviously.
4.The pancreas body tail excises the skill
It is a commonsense method which treats pancreas body tail tumour that the pancreas body tail excises the skill, do not have pancreas body tail cancer shifted in distant place to accommodate.
5.The whole pancreas excises the skill
Pancreas the intersection of head and cancer patient, age under 65 years old and operation ascertain reveal focus I or not NO. II ' There is no lymph node to shift) ,The feasible complete pancreas excises the skill.
6.Operation treatment of pancreas cancer that can't be excised
( 1) Drainage of biliary tract
Obstructive other drainage of the biliary tract
As to old, weak, low albumen blood disease, the infeted of biliary tract, or companion's liver has bad renal function, difficult persons who tolerate the drainage in the biliary tract, can carry on the bile duct or gallbladder and make the drainage outside Lou. The operation is easy to operate, complications are few.
Gallbladder or bile duct duodenum anastomosis
These has easy to operate, the wound little, few advantages of surgery complication to perform the operation. But upgo, infect while being incident while being postoperative, spend little while being clinical at present.
Gallbladder or bile duct jejunum anastomosis
Have the skill type adopted clinically frequently at present, so long as the patient has all right body, while estimating that can tolerate, namely should classify the gallbladder or bile duct jejunum anastomosis as the skill type at first.
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