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ALPPS治疗肝细胞癌10年回望:永恒的理念 慎选的术式 被引量:11
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作者 洪德飞 彭淑牖 刘允怡 《中华外科杂志》 CAS CSCD 北大核心 2022年第2期113-116,共4页
联合肝脏分割和门静脉结扎二步肝切除术(ALPPS)及其改进术式治疗余肝体积(FLR)不足的原发性肝细胞癌(HCC)的近10年的临床实践表明,其围手术期并发症发生率和病死率仍偏高,远期疗效改善不明显。主要原因有:患者在短期内需承受二次肝脏外... 联合肝脏分割和门静脉结扎二步肝切除术(ALPPS)及其改进术式治疗余肝体积(FLR)不足的原发性肝细胞癌(HCC)的近10年的临床实践表明,其围手术期并发症发生率和病死率仍偏高,远期疗效改善不明显。主要原因有:患者在短期内需承受二次肝脏外科手术的打击;FLR不足的HCC多为中晚期,术后易发生复发和转移;ALPPS仅实现了外科技术上的切除,并未实现肿瘤生物学上的切除。既往研究结果证明,中晚期HCC经局部治疗实现降期后再切除,其5年生存率与早期HCC切除后相当。因此,要提高FLR不足HCC患者的远期生存率,应倡导以肿瘤生物学转化为先、FLR增生为后的双转化策略和技术。靶向、免疫治疗联合局部治疗有望大幅提高转化率。回望ALPPS治疗HCC 10年的发展历程,留下的是促使FLR快速增生的永恒理念,慎选的是高代价、高风险、远期疗效提升不理想的外科术式。 展开更多
关键词 肝肿瘤 外科手术 联合肝脏分隔和门静脉结扎二步肝切除术 余肝不足 门静脉栓塞
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Regulation of BMP2K in AP2M1-mediated EGFR internalization during the development of gallbladder cancer 被引量:2
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作者 Xiaoling Song Maolan Li +8 位作者 Wenguang Wu Wei Dang Yuan Gao Rui Bian Runfa Bao Yunping Hu defei hong Jun Gu Yingbin Liu 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2020年第1期1134-1136,共3页
Dear Editor,Gallbladder cancer(GBC),the most common malignant tumor of the biliary tract,is a highly invasive form of cancer.Surgical resection is currently the first line approach to effectively treat GBC;however,ver... Dear Editor,Gallbladder cancer(GBC),the most common malignant tumor of the biliary tract,is a highly invasive form of cancer.Surgical resection is currently the first line approach to effectively treat GBC;however,very few patients have the opportunity to receive radical surgical treatment due to lack of obvious symptoms.1 The median survival of patients with GBC is only 12 months and 5-year survival rate is<5%,indicating GBC is extremely poor prognosis.Therefore,it is urgent to identify novel key molecules that can potentially serve as early diagnostic biomarkers and/or therapeutic targets.The current study focused on the potential role of bone morphogenetic protein 2 inducible kinase(BMP2K),a serine/threonine kinase,which was recently identified as clathrin-coated vesicle-associated protein in the development of GBC;the outcome may hold diagnostic and therapeutic promising for clinical practice. 展开更多
关键词 cancer BMP2 GALLBLADDER
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A Chinese consensus statement on the diagnosis and treatment of pancreatic exocrine insufficiency after pancreatic surgery(2018) 被引量:1
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作者 Taiping Zhang Zhe Cao +23 位作者 Rufu Chen Yiqi Du defei hong Kuirong Jiang Gang Jin Fei Li Weiqin Li Zhaoshen Li Tingbo Liang Quan Liao Wenhui Lou Yi Miao Jiaming Qian Renyi Qin Bei Sun Zhaohui Tang Chunyou Wang Weilin Wang Wenming Wu Yinmo Yang Gang Zhao Yupei Zhao Study Group of Pancreatic Surgery in Chinese Society of Surgery of Chinese Medical Association Pancreatic Disease Committee of Chinese Research Hospital Association 《Journal of Pancreatology》 2018年第1期30-34,共5页
A consensus statement on the diagnosis and treatment of pancreatic exocrine insufficiency(PEI)after pancreatic surgery was developed based on the latest references,combined with China’s actual situation.More than 20 ... A consensus statement on the diagnosis and treatment of pancreatic exocrine insufficiency(PEI)after pancreatic surgery was developed based on the latest references,combined with China’s actual situation.More than 20 Chinese excellent experts participated in this work and contributed many thorough discussions.This consensus discusses the definition,epidemiology,diagnosis,treatment,and follow-up of PEI after pancreatic surgery.The authors hope this consensus will promote the standard procedure of diagnosis and treatment of PEI in China. 展开更多
关键词 Expert consensus Pancreatic exocrine insufficiency Postoperative complications
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