Survival after pancreatic cancer surgery is extremely unfavorable even after curative resection. Prognostic factors have been explored but remain largely undefined. The present study was to identify the role of clinic...Survival after pancreatic cancer surgery is extremely unfavorable even after curative resection. Prognostic factors have been explored but remain largely undefined. The present study was to identify the role of clinical and laboratory variables in the prognostic significance of resectable pancreatic adenocarcinoma. A total of 96 patients who underwent curative resection for pancreatic cancer were included. Survival was evaluated based on complete follow-up visits and was associated with potential prognostic factors using the Kaplan-Meier method and Cox proportional hazard model survival analyses. The results showed that prognostic variables significantly reduced survival, including old age, poorly differentiated tumors, elevated tumor markers and positive lymph node metastasis（LNM）. Age of older than 60 years（HR=1.83, P=0.04）, LNM（HR=2.22, P=0.01）, lymph node ratio（00.2, HR=1.92, P=0.017）, initial CA199（HR=4.80, P=0.004）, and CEA level（HR=2.59, P=0.019） were identified as independent prognostic factors by multivariate analysis. It was concluded that LNR may be potent predictor of survival and suggests that surgeons and the pathologists should thoroughly assess lymph nodes prior to surgery.展开更多
【据《Hepatology》2019年1月】报道:肝细胞E1A激活基因阻遏子通过转化生长因子激酶1依赖减轻小鼠肝缺血再灌注损伤(作者 Yang L等)肝缺血再灌注损伤是在肝移植、肝切除手术中不可避免的损伤过程,是肝脏外科手术的一大难题。目前唯一有...【据《Hepatology》2019年1月】报道:肝细胞E1A激活基因阻遏子通过转化生长因子激酶1依赖减轻小鼠肝缺血再灌注损伤(作者 Yang L等)肝缺血再灌注损伤是在肝移植、肝切除手术中不可避免的损伤过程,是肝脏外科手术的一大难题。目前唯一有效的治疗方案是缺血预处理,但在适应症上存在缺陷。因此,对肝缺血再灌注损伤发病机制的深入了解并开发有效的治疗方法至关重要。E1A激活基因阻遏子(CREG)是细胞增殖的关键调节因子,已有相关文献报道其在心血管疾病中发挥重要的保护作用,同时也可在肝脂质积累和炎症反应中发挥保护作用。然而,其在肝缺血再灌注损伤中的作用尚未见报道。因此,探讨CREG在肝缺血再灌注损伤中的作用可为临床诊疗提供新的思路。展开更多
基金supported in part by the National Natural Science Foundation of China(No.81470039,No.81330014,and No.81272656)
文摘Survival after pancreatic cancer surgery is extremely unfavorable even after curative resection. Prognostic factors have been explored but remain largely undefined. The present study was to identify the role of clinical and laboratory variables in the prognostic significance of resectable pancreatic adenocarcinoma. A total of 96 patients who underwent curative resection for pancreatic cancer were included. Survival was evaluated based on complete follow-up visits and was associated with potential prognostic factors using the Kaplan-Meier method and Cox proportional hazard model survival analyses. The results showed that prognostic variables significantly reduced survival, including old age, poorly differentiated tumors, elevated tumor markers and positive lymph node metastasis（LNM）. Age of older than 60 years（HR=1.83, P=0.04）, LNM（HR=2.22, P=0.01）, lymph node ratio（00.2, HR=1.92, P=0.017）, initial CA199（HR=4.80, P=0.004）, and CEA level（HR=2.59, P=0.019） were identified as independent prognostic factors by multivariate analysis. It was concluded that LNR may be potent predictor of survival and suggests that surgeons and the pathologists should thoroughly assess lymph nodes prior to surgery.
文摘【据《Hepatology》2019年1月】报道:肝细胞E1A激活基因阻遏子通过转化生长因子激酶1依赖减轻小鼠肝缺血再灌注损伤(作者 Yang L等)肝缺血再灌注损伤是在肝移植、肝切除手术中不可避免的损伤过程,是肝脏外科手术的一大难题。目前唯一有效的治疗方案是缺血预处理,但在适应症上存在缺陷。因此,对肝缺血再灌注损伤发病机制的深入了解并开发有效的治疗方法至关重要。E1A激活基因阻遏子(CREG)是细胞增殖的关键调节因子,已有相关文献报道其在心血管疾病中发挥重要的保护作用,同时也可在肝脂质积累和炎症反应中发挥保护作用。然而,其在肝缺血再灌注损伤中的作用尚未见报道。因此,探讨CREG在肝缺血再灌注损伤中的作用可为临床诊疗提供新的思路。
