中国实用外科杂志2018，Vol.38Issue(2)：146-148,3.DOI:10.19538/j.cjps.issn1005-2208.2018.02.06
胰腺癌根治术的范围:共识与争议
Consensus and controversy on the radical resection range of pancreatic cancer
楼文晖 1方圆1
作者信息
- 1. 复旦大学附属中山医院胰腺外科,上海 200032
- 折叠
摘要
Abstract
Pancreatic cancer has the worst prognosis in all the digestive malignant tumors.Local recurrence,lymph node and distant metastasis are the key prognostic factors and resection range of pancreatic cancer has been gone through 3 stages:first stage was the improvement of surgical safety from Doc Whipple performed the first pancreaticoduodenectomy to the 1960s;the next stage was the extended pancreatectomy including extended lymphadenectomy,combined vascular resection and reconstruction,and total pancreatectomy;recently the resection range has changed to standard lymphadenectomy since the RCT results did not show survival benefit after 2000.Although expert consensus had been reached on the radical resection range of pancreatic cancer,the efficacy was not satisfied.Surgeons need to understand the biological behavior of pancreatic cancer and pay attention to the value of combined chemoradiotherapy.关键词
胰腺癌/胰十二指肠切除术/淋巴结清扫/预后Key words
pancreatic cancer/pancreaticoduodenectomy/lymphadenectomy/prognosis分类
医药卫生引用本文复制引用
楼文晖,方圆..胰腺癌根治术的范围:共识与争议[J].中国实用外科杂志,2018,38(2):146-148,3.
