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胰腺癌行标准与扩大的胰腺切除术定义与手术范围 ——2013国际胰腺外科研究组共识解读

孙    备,李    乐   

  1. 哈尔滨医科大学附属第一医院 胰胆外科,黑龙江哈尔滨150001
  • 出版日期:2015-01-01 发布日期:2014-12-31

  • Online:2015-01-01 Published:2014-12-31

摘要:

胰腺癌恶性程度高,早期易出现淋巴结转移。完整的肿瘤切除,联合规范的淋巴结清扫,对于改善病人的预后,具有至关重要的意义。现今,对于切除范围及淋巴结清扫区域的选择,各研究组间存在分歧,因此,临床医生也缺少相应的规范遵循。根据国际胰腺外科研究组的建议,对标准胰腺癌切除的定义及范围,标准或扩大淋巴结清扫等问题进行了归纳与总结。

关键词: 胰腺癌, 标准胰腺切除, 扩大胰腺切除, 标准淋巴结清扫, 扩大淋巴结清扫

Abstract:

The definition and excision extension of standard pancreatectomy and extended pancreatectomy—2013: interpretation of the International Study Group on Pancreatic Surgery by the consensus        SUN Bei, LI Le. Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, Harbin Medical University, Harbin 150001, China
Corresponding author: SUN Bei, E-mail: sunbei70@tom.com
Abstract    The characteristic of early metastasis in lymph node regards pancreatic ductal adenocarcinoma as one of the highest malignant tumors all over the world. Complete macroscopic tumor resection combined with standard lymphadenectomy takes survival benefit for patients who suffer pancreatic cancer in recent years. However, there is a vigorous disagreement on selecting the excision extension and lymphadenectomy between different study groups at present. Clear definition could hardly be found for the native clinicians. Hence, we summarize the definition of standard pancreatectomy, standard or extended lymphadenectomy formulated in a consensus of the International Study Group on Pancreatic Surgery.

Key words: pancreatic ductal adenocarcinoma, standard pancreatectomy, extended pancreatectomy;standard lymphadenectomy;extended lymphadenectomy