关键词: 胰头癌, 根治切除, 胰腺系膜, 胰腺全系膜切除

Abstract:

Controversy and evaluation of the concept of total mesopancreas excision        LIU Ying-bin，WU Wen-guang. Department of General Surgery，Xinhua Hospital，Affiliated to Shanghai Jiao Tong University，School of Medicine，Shanghai 200092，China
Corresponding author：LIU Ying-bin，E-mail：laoniulyb@163.com
Abstract    In recent year，along with the introduction of the concept of mesopancreas，the R1 resection in many pancreatic head cancer patients has been believed to be caused by the incomplete resection of the mesopancreas. Accordingly，the concept of "total mesopancreas excision" (TMpE) has been proposed and then applied，which had suggested that TMpE was helpful to increase the R0 resection rate and improve the prognosis. It is demonstrated that TMpE was safe and feasible for this malignancy and could effectively increase the rate of R0 resection in these patients. However，the outcomes still warrant further validation in the subsequent follow-up. Although the concept of mesopancreas and total mesopancreas excision method、scope、technology、effect are still debated, mesopancreas covered the pancreatic cancer the key operation area, and total mesopancreas excision is expected to improve the prognosis of patients with pancreatic cancer, and still worthy of further clinical research.

Key words: pancreatic head carcinoma, radical resection, mesopancreas, total mesopancreas excision