期刊文献+

胰腺癌淋巴结清扫范围的探讨 被引量:4

下载PDF
导出
摘要 早期胰腺癌因缺乏典型症状,患者初次就诊时病情已多属中、晚期,切除率很低,总体预后差。近年来胰腺癌发病率的不断提高,胰腺癌治疗的现状令人担忧。随着手术技术的提高,胰腺癌手术切除率也不断提高,但胰腺癌患者总的5年生存率仍徘徊在5%~10%。术后病灶转移和复发依旧是目前胰腺癌难以根治的瓶颈所在,淋巴转移是胰腺癌术后生存时间的独立影响因素。因此,做到规范的根治性手术切除和彻底的淋巴廓清具有重要意义。
出处 《上海医学》 CAS CSCD 北大核心 2010年第11期986-988,共3页 Shanghai Medical Journal
  • 相关文献

参考文献10

  • 1Fortner J G,Klimstra D S,Senie R T,et al.Tumor size is the primary prognosticator for pancreatic cancer after regional pancreatectomy.Ann Surg,1996,223:147-153.
  • 2Nakao A,Harada A,Nonami T,et al.Lymph node metastases in carcinoma of the head of the pancreas region.Br J Surg,1995,82:399-402.
  • 3Ohta T,Kitagawa H,Kayahara M,et al.Sentinel lymph node navigation surgery for pancreatic head cancers.Oncol Rep,2003,10:315-319.
  • 4Connor S,Bosonnet I,Ghaneh P,et al.Survival of patients with periampullary carcinoma is predicted by lymph node 8a hut not by lymph node 16bl status.Br J Surg,2004,91:1592-1599.
  • 5Yamada S,Nakao A,Fuiii T,et al.Pancreatic cancer with paraaortic lymph node metastasis:a contraindication for radical surgery? Pancreas,2009,38:e13-e17.
  • 6Sakai M,Nakao A,Kaneko T,et al.Para-aortie lymph node metastasis in carcinoma of the head of the pancreas.Surgery,2005,137:606-611.
  • 7Riediger H,Kcek T,Wellner U,et al.The lymph node ratio is the strongest prognostic factor after resection of pancreatic cancer.J Gastrointest Surg,2009,13:1337-1344.
  • 8Adams R B,Allen P J.Surgical treatment of reseetable and borderline resectable pancreatic cancer:expert consensus statement by Evans et aL Ann Surg Oncol,2009,16:1745-1750.
  • 9Pedrazzoli S,DiCarlo V,Dionigi R,et al.Standard versus extended lymphadenectomy associated with pancreatoduodenectomy in the surgical treatment of adenoeareinoma of the head of the pancreas:a multicenter,prospective,randomized study.Lymphadenectomy Study Group.Ann Surg,1998,228:508-517.
  • 10Goh B K,Tan Y M,Cheow P C,et al.Outcome of distal pancreatectomy for pancreatic adenoearcinoma.Dig Surg,2008,25:32-38.

同被引文献59

  • 1刘颖斌,许斌,钱浩然,王建伟,李海军,邓贵龙,冯雪冬,李江涛,王新保,唐喆.彭氏捆绑式胰肠吻合术在胰十二指肠切除术中的应用[J].临床外科杂志,2004,12(4):212-214. 被引量:6
  • 2刘颖斌,王建伟,方河清,彭承宏,吴育连,许斌,邓贵龙,李海军,李江涛,王新保.捆绑式胰肠吻合术在胰十二指肠切除术中的应用[J].中华医学杂志,2004,84(12):997-999. 被引量:31
  • 3徐鲲,刘晓安,王水,张小林,陆辉.乳腺癌前哨淋巴结活检染料选择的实验研究[J].南京医科大学学报(自然科学版),2005,25(3):201-203. 被引量:3
  • 4土井隆一郎,藤本康二,今村正之,李昱骥(译),田雨霖(审校).胰腺癌扩大手术的意义和适应证[J].中国实用外科杂志,2005,25(8):508-510. 被引量:3
  • 5Weitz J, Rahbari N, Koch M, et al. The "artery first" approach for resection of pancreatic head cancer [ J]. J Am Coil Surg, 2010, 210(2):e1-4.
  • 6Verbeke C, Leitch D, Menon K, et al. Redefining the R1 resec- tion in pancreatic cancer[J]. BrJ Surg ,2006,93(10):1232-1237.
  • 7Esposito I, Kleeff J, Bergmann F, et al. Most pancreatic cancer resections are R1 resections [J]. Ann Surg Oncol,2008,15(6): 1651-1660.
  • 8Adham M, Singhirunnusom J. Surgical technique and results of total mesopancreas excision (TMpE) in pancreatic tumors [J]. Eur J Surg Oncol, 2012,38 (4) 340-345.
  • 9Peng SY, Wang JW, Lau WY, et al.Conventional versus bind- ing pancreaticojejunostomy after pancreaticoduodenectomy: a prospective randomized trial [J].Ann Surg, 2007, 245(5): 692-698.
  • 10Buc E, Flamein R, Golffier C, et al.Peng's binding pancreatico- jejunostomy after pancreaticoduodenectomy: a French prospec- tive study[J].J Gastrointest Surg,2010,14(4): 705-710.

引证文献4

二级引证文献57

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部