胰头癌区域淋巴结清扫的范围与理念

基金项目: 上海市级医院新兴前沿技术联合攻关项目(SHDC 12014109)

Extent and ideas about regional lymphadenectomy for pancreatic head carcinoma

Department of General Surgery, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China

摘要:
胰腺癌是消化系统常见恶性肿瘤，因为具有早期淋巴结转移和嗜神经性转移的特性其预后极差，根治性手术是目前唯一可能治愈该疾病的治疗方式。胰头癌区域淋巴结清扫作为根治性手术的重要组成部分而备受关注，但是其具体清扫范围以及是否联合血管切除一直也是争论的焦点。近年来，胰头癌切除的动脉优先原则被认为是对胰头癌手术相关理论的很好补充。而全胰腺系膜切除理念的提出也为胰头癌区域淋巴结清扫提出了一个新的研究方向。
- 胰腺肿瘤 /
- 区域淋巴结清扫 /
- 动脉优先原则 /
- 全胰腺系膜切除
Abstract:
Pancreatic carcinoma is a common malignancy of the digestive system, which has poor prognostic results because of its characteristics of lymphatic metastasis and perineural metastasis. Radical resection is considered as the only possible way to cure this malignant disease. As a part of the radical resection, regional lymphadenectomy has gained lots of attention, while there is no consensus regarding the extent of regional lymphadenectomy and the role of combined vessel resection. Recently, the artery first approach and total mesopancreas excision have probed a new direction for the research of regional lymphadenectomy for pancreatic head carcinoma.
- Pancreatic neoplasms /
- Regional lymphadenectomy /
- Arteryfirst approach /
- Total mesopancreas excision