中国实用外科杂志

中国实用外科杂志

• 外科质量控制 • 上一篇    下一篇

胰腺癌手术质量控制

金    钢，郑楷炼   

  1. 第二军医大学附属长海医院胰腺肝胆外科，上海200433
  • 出版日期:2016-01-01 发布日期:2015-12-31

  • Online:2016-01-01 Published:2015-12-31

摘要：

胰腺癌恶性程度高、预后差，根治性手术切除是胰腺癌病人获得长期生存的惟一希望，也是延长病人生存期的主要手段。然而，胰腺癌手术切除长期以来是一种高风险、高难度的腹部外科手术，存在着切除率低、并发症发生率高、手术死亡率高、术后远期存活率低的问题。因此，应合理把握手术适应证和选择治疗方式，提高手术技术，加强围手术期处理，以提高胰腺癌手术的安全性及手术质量，降低并发症发生率及病死率。

关键词: 胰腺癌, 手术治疗, 质量控制

Abstract:

Quality control of surgical management in pancreatic carcinoma        JIN Gang, ZHENG Kai-lian. HPB Surgery of Changhai Hospital, the Second Military Medical University，Shanghai200433, China
Corresponding author: JIN Gang, E-mail: jingang@sohu.com
Abstract    Pancreatic cancer is one of the most common malignant tumor in the digestive system, and has bad prognosis. Radical resection is the only hope of long-term survival in patients with pancreatic cancer, is also the principal means of prolong patient survival.  However, Pancreatic cancer surgery is a kind of high risk and difficult abdominal surgery, there is a low resection rate, high incidence of complications and mortality rate, short-term survival. Therefore, accurate clinical stage, to select the right surgical method, strengthen the perioperative management, in order to improve the quality and safety of pancreatic surgery operation, reduce the incidence of complications and mortality rate.

Key words: pancreatic cancer, surgical management, quality control