中国实用外科杂志
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陈汝福,周泉波
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摘要:
胰腺癌具有嗜神经侵袭和转移特性,神经组织内癌细胞残留是胰腺癌术后复发的重要原因。然而,传统胰腺癌根治术并未重视胰腺周围神经丛的清扫。目前,对于胰头癌病人行联合胰周神经清扫的手术指征和清扫范围仍缺乏统一标准。建议对相对早期胰头癌进行联合神经清扫的胰十二指肠切除术,重点对胰头后方神经丛、肠系膜上动脉环绕270?及腹腔干右侧180?以上进行完整清扫,并推荐采用肠系膜上动脉先行游离的手术路径。
关键词: 胰头癌, 根治性胰十二指肠切除术, 神经清扫
Abstract:
The indication of nerve dissection and surgical skills for radical pancreaticoduodenectomy with peripancreatic nerve dissection CHEN Ru-fu,ZHOU Quan-bo. Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China Corresponding author:CHEN Ru-fu,E-mail:chenrf63@163.com Abstract pancreatic cancer are characteristic of perineural invasion and metastasis. One significance cause of pancreatic cancer recurrence is the residual cancer cells within the pancreas and the peripheral nerve plexus. However,conventional radical surgery for pancreatic cancer did not pay much attention to the dissection of peripancreatic nerve plexus. So far,about the combination of radical surgery and peripancreatic nerve dissection for pancreatic cancer,its surgical indication and the extent of nerve dissection are still lack of uniform standards. The author summarizes own's experience and other's related research results,suggestions on relatively early pancreatic cancer associated pancreaticoduodenectomy with nerve dissection,and for the first time for induction and summary of this surgical points and skills.
Key words: pancreatic ductal adenocarcinoma, radical pancreaticoduodenectomy, nerve dissection
陈汝福,周泉波. 胰头癌行根治性胰十二指肠切除术神经清扫指征与技巧[J]. 中国实用外科杂志, DOI: 10.7504/CJPS.ISSN1005-2208.2016.08.09.
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https://www.zgsyz.com/zgsywk/CN/Y2016/V36/I08/847