中国实用外科杂志
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孙 备,王鑫龙
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提高R0切除率是改善胰腺癌治疗效果的关键。可能切除胰腺癌是介于可切除和不可切除之间的一个概念,从2001年这个概念诞生至今经历了几次大的变动。从单纯的解剖学定义开始,定义的内容不断丰富,对解剖学部位的描述更加具体,而后又出现了新的生物性与条件性定义,目前可能切除胰腺癌的概念已不断趋向标准化、规范化与全面化,对胰腺癌的诊疗具有重要的指导意义。随着影像学的发展和多学科综合治疗协作组(MDT)模式的引入,胰腺癌诊疗思路也不断发生变化,从手术优先变为MDT为主的综合治疗。
关键词: 胰腺癌, 可能切除, 定义, 多学科综合治疗协作组
Abstract:
The transition of the definition of borderline resectable pancreatic cancer and its significance SUN Bei,WANG Xin-long. Department of Pancreatic and Biliary Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China Corresponding author:SUN Bei,E-mail:sunbei70@tom.com Abstract The R0 removal rate is the key to cure pancreatic cancer. Borderline resectable pancreatic cancer is a concept between resectable pancreatic cancer and unresectable pancreatic cancer. It has witnessed several great changes since it was born in 2001. From the pure anatomy definition to the new concept of biological and conditional definition,the concept of borderline resectable pancreatic cancer tends to be standardized,normalized and comprehensive and it is of great guiding significance to the diagnosis and treatment of pancreatic cancer. With the development of imaging and the introduction of MDT,the treatment of pancreatic cancer is constantly changing from surgery first to comprehensive treatment with MDT.
Key words: pancreatic cancer, borderline resectable, definition, multi-disciplinary treatment
孙 备,王鑫龙. 可能切除胰腺癌概念变迁及其意义[J]. 中国实用外科杂志, DOI: 10.19538/j.cjps.issn1005-2208.2018.07.08.
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https://www.zgsyz.com/zgsywk/CN/Y2018/V38/I07/734