指导手术方式选择的胰腺癌分型及其与TNM分期相关性的探讨

A new classification of pancreatic cancer to guide operative decisions and the comparison with the TNM stage

尽管国际上已有多个关于胰腺癌的分期方法,如UICC分期和JPS分期,但这些分期均基于TNM评估体系,尚不能指导术前手术方式的选择.笔者依据胰腺癌的位置和其与重要血管的关系提出了一种新的胰腺癌分型方法,将胰腺癌分成8型,初步提出了各型胰腺癌的最佳手术方式和其与TNM分期的相关关系.这是以胰腺癌手术方式选择为目的的胰腺癌分型,以期对规范胰腺癌手术、提高手术安全性和R0切除率.

Despite the worldwide application of various terminological and classification systems used for pancreatic cancer,such as UICC classification and JPS classification based on the TNM system,however,little information on their use in operative decision-making is available.A new classification system according to the relationship with the tumor and key vasculature around the pancreas is described,and the pancreatic carcinomas are divided into eight types to provide operative decisions for different types of pancreatic cancer.Furthermore,the relationship between the classification system and TNM system is discussed.The new classification is the first time to discuss the classification for the operative decisions for the pancreatic cancer and this formalized type of approach may provide the best chance of achieving R0 resection and providing improved safety results.