Peri‑arterial dissection techniques for pancreatic cancer

  • 摘要: 通过手术获得根治性切除是胰腺癌患者实现长期生存的关键。胰腺癌术后动脉切缘阳性率居高不下,动脉周围是术后局部复发的高危区域,提示动脉肿瘤累及仍然是胰腺癌外科治疗的临床难点,相应外科技术对策则成为领域内的热点和焦点问题。笔者归纳胰腺癌动脉累及相关外科治疗研究的最新进展,总结中国和日本2家大型胰腺癌治疗中心的动脉周围清扫相关经验,并展望胰腺外科在该领域的未来发展方向。

     

    Abstract: Radical resection is the key for long‑term survival of pancreatic cancer patients. The positive rate of arterial margin after pancreatic cancer surgery is still high, and the peri-arterial area is a high‑risk area for local recurrence after surgery, suggesting that the arterial involvement of tumor is still a challenge in the surgical treatment of pancreatic cancer, and the corresponding surgical technical countermeasures have become a hot spot and focus in the field. The authors summarize the latest progress in research on surgical treatment for arterial involvement of pan-creatic cancer, generalize the experiences of peri‑arterial dissection in two large pancreatic cancer centers in China and Japan, and give their perspectives to the future development of pancreatic surgery in this field.

     

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