胰腺颈部癌根治性手术的外科策略

Surgical strategy of radical pancreatectomies for pancreatic neck cancer

胰腺癌发病率虽逐渐升高,但得益于外科学、肿瘤学等多学科发展,其预后有所改善。胰腺颈部癌因特殊解剖位置,在胰腺切除范围、动静脉侵犯外科处理及淋巴结清扫范围等诸多外科决策领域尚未形成共识,影响根治性手术的规范开展。笔者结合循证医学证据及临床经验,针对胰腺颈部癌根治性手术中的外科决策要点进行探讨。

Although the incidence of pancreatic cancer is increasing,due to the development of surgery,oncology and other disciplines,its prognosis has improved.The anatomical neighboring of pancreatic neck cancer is complex and there is no consensus in surgical decision‐making such as the extension of pancreatic resection,handling of arteriovenous invasion,and lymph node dissection,which hampered the development of safety and standardization for radical surgery.The authors review the key points of surgical decision‐making in radical surgery for pancreatic neck cancer based on evidence‐based medicine and clinical experience.