中国实用外科杂志

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动脉受累胰腺癌手术治疗策略

蒋奎荣陆子鹏,苗    毅   

  1. 南京医科大学第一附属医院胰腺中心,江苏南京  210029
  • 出版日期:2017-07-01 发布日期:2017-06-30

  • Online:2017-07-01 Published:2017-06-30

摘要:

易累及腹腔主要动脉是胰腺癌切除率低、预后差的重要原因。对于动脉受累的胰腺癌病人,外科医师应依托多学科诊治,针对选择性病例,采用各种外科技术,包括动脉优先入路、动脉鞘剥除、联合动脉切除等技术,尽量实现胰腺癌R0或R1切除,从而改善远期生存。

关键词: 胰腺癌, 联合动脉切除, 多学科综合治疗协作组

Abstract:

Surgical treatment strategy for pancreatic cancer patients with artery involvement        JIANG Kui-rong,LU Zi-peng,MIAO Yi. Pancreas Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China
Corresponding author:MIAO Yi,E-mail:miaoyi@njmu.edu.cn
Abstract    Frequent involvement with major artery in abdomen is an important reason for low resection rate as well as poor prognosis in pancreatic cancer. For pancreatic cancer patients with artery involvement,surgeons should put themselves in the multidisciplinary treatment chain. Modern surgical techniques,including “artery-first” approach,artery divestment technique and artery combined resection,should be applied in selective patient population. The purpose should be to achieve R0/R1 resection,in order to improve the long-term survival of patients.

Key words: pancreatic cancer, artery combined resection, multi-disciplinary team