Surgical treatment on carcinoma of ampulla by local resection / 中国基层医药

ABSTRACT

Objective To discuss the feasibility and curative effect of local resection on carcinoma of ampulla by duodenum.Methods 8 patients with ampulla of vater carcinoma were 1reared by local resections from January 2001 to July 2006.And one case was adenoma,the other were adenocarcinoma.Our methods of operation were the followingwe cutted the vater periampullary tumor ring-shapedly far 2cm from tumor,and resected the 1.5～2.0 cmextreme of bile vessel and pancrealic duct.We rebuilded bile vessel and pancreatic duct and embedded them to duodenum.Results The 8 cases were recovered successfully,and there were on complications on them.Their average hospital days were 16 days.All of the patients were following-up,6 cases without tumor survived more than 20～68 months,and 1 case with adenoma has survived for more than 4 years.Conclusion Local resection on carcinoma of ampulla by duodenum is feasible,its wound,complications and death rate were lower.As long as the cases were suitable,parts of patients can be cured radically.