无需血管及消化道重建切除侵犯腹腔干的胰体癌:改良Appleby手术
被引量:1
摘要
胰体癌由于临床症状出现晚,确诊时常常为局部进展期,难以实施根治性切除手术。侵犯邻近重要血管是病变不可切除的重要原因之一。NCCN指南v.2.2010指出,胰体癌不可切除的标准之一是腹腔干被肿瘤侵犯包绕超过180°。但是,如果能够连同受侵犯的血管整块切除肿瘤,不仅可以提高手术切除率,改善生活质量,而且部分患者可能延长生存期。
出处
《国际外科学杂志》
2011年第6期411-413,共3页
International Journal of Surgery
二级参考文献15
-
1Appleby LH.The coeliac axis in the expansion of the operation for gastric carcinoma. Cancer . 1953
-
2Masaru Konishi,Taira Kinoshita,Toshio Nakagori,Kazuto Inoue,Tatsuya Oda,Takahiro Kimata,Hiroyuki Kikuchi,Munemasa Ryu.Distal pancreatectomy with resection of the celiac axis and reconstruction of the hepatic artery for carcinoma of the body and tail of the pancreas[J]. Journal of Hepato - Biliary - Pancreatic Surgery . 2000 (2)
-
3Toshihiko Mayumi,Yuji Nimura,Junichi Kamiya,Satoshi Kondo,Masato Nagino,Michio Kanai,Masahiko Miyachi,Katsura Hamaguchi,Naokazu Hayakawa.Distal pancreatectomy withen bloc resection of the celiac artery for carcinoma of the body and tail of the pancreas[J]. International Journal of Gastrointestinal Cancer . 1997 (1)
-
4Hiroaki Takenaka M.D.,Kazuhiro Iwase M.D.,Senya Ohshima M.D.,Toshivuki Hiranaka M.D..A new technique for the resection of gastric cancer: Modified appleby procedure with reconstruction of hepatic artery[J]. World Journal of Surgery . 1992 (5)
-
5Masaki Okuyama,Takashi Shibata,Tetsushi Morita,Masashi Kitada,Yasuo Tukahara,Yukio Fukushima,Kimimasa Ikeda,Junya Fuzita,Takashi Shimano.A comparison of intraoperative celiac plexus block with pharmacological therapy as a treatment for pain of unresectable pancreatic cancer[J]. Journal of Hepato - Biliary - Pancreatic Surgery . 2002 (3)
-
6Okuyama M,Shibata T,Morita T,Kitada M,Tukahara Y,Fukushima Y, et al.A comparison of intraoperative celiac plexus block with pharmacological therapy as a treatment for pain of unresectable pancreatic cancer. Journal of Hepato Biliary Pancreatic Surgery . 2002
-
7Iizuka I.Collateral circulation after division of the common hepatic artery-clinical study concerning Appleby‘s operation. Nippon Geka Gakkai Zasshi . 1990
-
8Takenaka H,Iwase K,Ohshima S, et al.A new technique for the resection of gastric cancer: modified Appleby procedure with reconstruction of hepatic artery. World Journal of Surgery . 1992
-
9Horiguchi A,Miyakawa S,Mizuno K, et al.Portal vein resection without reconstruction during Appleby operation in a patient with pancreatic body carcinoma with cavernous transformation. Hepato Gastroenterology . 1999
-
10Kondo S,Katoh H,Omi M, et al.Radical distal pancreatectomy with en bloc resection of the celiac artery, plexus, and ganglions for advanced cancer of the pancreatic body: a preliminary report on perfect pain relief. Journal of the Pancreas . 2001
共引文献2
-
1Shailesh V Shrikhande,Savio G Barreto.Extended pancreatic resections and lymphadenectomy:An appraisal of the current evidence[J].World Journal of Gastrointestinal Surgery,2010,2(2):39-46. 被引量:2
-
2彭承宏,吴旭波,雷若庆,程东峰,沈柏用,吴卫泽,王建承.联合腹腔干切除在胰体尾癌扩大根治术中的应用[J].中国实用外科杂志,2009,29(8):655-658. 被引量:8
同被引文献11
-
1胡先贵,金钢,刘瑞,张怡杰,胡志浩,邵成浩,唐岩.联合腹腔干切除的胰体尾癌扩大根治术(附11例报告)[J].第二军医大学学报,2005,26(8):871-872. 被引量:5
-
2Appleby LH. The coeliac axis in the expansion of the op- eration for gastric carcinoma [J]. Cancer,1953,6 (4): 704-707.
-
3Okada K,Kawai M,Tani M,et al. Surgical strategy for pa- tients with pancreatic body/tail carcinoma:who should un- dergo distal pancreatectomy with en-bloc celiac axis resec- tion? [J]. Surgery,2013,153(3) :365-372.
-
4Takada M,Kondo S,Hirano S,et al. Indications for and postoperative problems of distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer [J]. Nihon Geka Gakkai Zasshi,2011,112 (3) : 177-181.
-
5Hirano S, Kondo S, Hara T,et al. Distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer:long-term results [J]. Ann Surg, 2007,246 ( 1 ) : 46-51.
-
6Jing W,Zhu G,Hu X,et al. Distal pancreatectomy with en bloc celiac axis resection for the treatment of locally ad- vanced pancreatic body and tail cancer [J]. Hepatogas- troenterology,2013,60( 121 ) : 187-190.
-
7Shimura M,Ito M,Horiguchi A,et al. Distal pancreatec- tomy with en bloc celiac axis resection performed while monitoring hepatic arterial flow by using a transonic flowmeter during operation [J]. Hepatogastroenterology, 2012,59(117) : 1498-1500.
-
8Miyakawa S, Horiguchi A, Hanai T, et al. Monitoring hep- atic venous hemoglobin oxygen saturation during Appleby operation for pancreatic cancer[J]. Hepatogastroenterolo- gy, 2002,49 (45) : 817-821.
-
9Mayumi T,Nimura Y,Kamiya J,et al. Distal pancreatec- tomy with en bloc resection of the celiac artery for carci- noma of the body and tail of the pancreas [J]. Int J Pan- creatol, 1997,22( 1 ) : 15-21.
-
10Ozaki H, Kinoshita T, Kosuge T, et al. An aggressive thera- peutic approach to carcinoma of the body and tail of the pancreas[J]. Cancer, 1996,77( 11 ) : 2240-2245.
二级引证文献2
-
1苗成利,曾嘉,陈建飞,陈伟达,梅世文,何远翔,罗成华.腹膜后肿瘤包绕腹腔干治疗方案初步探讨[J].中国普外基础与临床杂志,2016,23(3):278-281. 被引量:2
-
2戚峰,邰升.联合腹腔干切除的胰体尾癌根治术[J].中华肝脏外科手术学电子杂志,2017,6(3):168-171. 被引量:4
-
1郝丽华,孙玉清,杨帆.胃镜诊断黏膜下肿瘤与术后对照36例[J].实用医学杂志,2004,20(6):714-714.
-
2徐健,常宏,徐亚玲.胰体癌的外科治疗[J].山东医药,2002,42(24):51-51.
-
3刘超,徐琳,刘宝善,燕锦,左明.32例高龄结直肠癌患者的外科治疗[J].中华胃肠外科杂志,2005,8(6):523-523. 被引量:4
-
4梁捷,郑恩涛,胡禄清.胰体癌切除术治疗体会[J].中国肿瘤临床与康复,2001,8(6):74-74.
-
5王松,程坤,陈启龙.改良Appleby术治疗胰体尾癌研究进展[J].中华实用诊断与治疗杂志,2015,29(4):316-318. 被引量:1
-
6程东峰,任家俊,沈柏用.Appleby手术的抉择[J].肝胆外科杂志,2013,21(3):169-173. 被引量:2
-
7邹恩泽,才艳红.CT在诊断膀胱癌浸润深度中的作用[J].中国冶金工业医学杂志,2008,25(1):85-85.
-
8房民,段姚尧,王芸.胰体癌误诊1例[J].武警医学院学报,2009,18(1):60-60.
-
9葛辉玉,苗立英,熊六林,王金锐,贾建文,郑粹闪.晚期胰体癌HIFU消融效果与CT靶皮距的相关性[J].中国医学影像技术,2013,29(2):239-242. 被引量:1
-
10于红,汤连志,茅亭,张燕.16层螺旋CT在胰腺癌诊断中的意义[J].医学研究通讯,2005,34(5):68-68.