中国实用外科杂志

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可切除胰腺癌新辅助治疗价值及评价

梁廷波白雪莉,李    想   

  1. 浙江大学医学院附属第二医院肝胆胰外科  浙江省胰腺病研究重点实验室,浙江杭州  310009
  • 出版日期:2018-07-01 发布日期:2018-07-09

  • Online:2018-07-01 Published:2018-07-09

摘要:

近年来,随着新辅助治疗给非转移性胰腺癌病人带来生存获益的证据逐渐增多,新辅助治疗在胰腺癌中的应用受到前所未有的重视,应用范围也从局部进展期胰腺癌扩展到可切除胰腺癌(RPC)。针对RPC,传统认为手术切除是惟一可能根治的手段,是否需要新辅助治疗目前争议较大。既往的研究显示RPC新辅助治疗并没有使病人生存获益,但随着多药联合的新辅助治疗方案的推出,一些回顾性大样本研究和前瞻性小样本研究均显示,对RPC病人先行新辅助治疗再手术较直接手术能明显延长生存期。然而,是否所有的RPC均须行新辅助治疗,有待证据等级高的前瞻性研究结果验证。

关键词: 可切除胰腺癌, 新辅助治疗

Abstract:

Value and evaluation neoadjuvant therapy in pancreatic cancer        LIANG Ting-bo,BAI Xue-li,LI Xiang. Department of Hepatobiliary and Pancreatic Surgery,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China
Corresponding author:LIANG Ting-bo,E-mail:liangtingbo@
zju.edu.cn
Abstract    Recently,accumulative evidence demonstrates that patients with non-metastatic pancreatic cancer can benefit from neoadjuvant therapy. Hence the application of neoadjuvant in pancreatic cancer patients became a hot topic and been paid much more attention than ever. Surgery is considered as the only curable method for resectable pancreatic cancer(RPC) traditionally,and the application of neoadjuvant therapy in RPC remains controversial. According to the data from previous studies,neoadjuvant therapy did not prolong the survival of RPC. However,with the development of chemotherapy regimens,more and more promising results were obtained from retrospective and prospective research in recent years. Much more high-level clinical trials are still required to confirm whether neoadjuvant therapy is mandatory for all RPC patients.

Key words: resectable pancreatic adenocarcinoma, neoadjuvant therapy