Surgical approaches for resection of pancreatic cancer: an overview

Objective: To overview the different surgical approach-es for the resection of pancreatic cancer and our expe-rience with these techniques.Methods: Surgical procedures including the Whipple re-section, pylorus-preserving resection, total and subto-tal panreatectomies, regional pancreatectomy and theextended lymph node resection were discussed.Results: Studies have shown that no operation seems toproduce significantly improved results in terms of sur-vival, mortality and resection rates compared to thestandard Whipple resection and pylorus-preservingduodenopancreatectomy.Conclusion: Despite the progress in the surgical treat-ment of pancreatic cancer, the overall prognosis afterresection remains unsatisfied. Surgery is likely to beoptional for the treatment of pancreatic cancer.

Multiple von Meyenburg complexes mimicking diffuse liver metastases from esophageal squamous cell carcinoma

Von Meyenburg 建筑群是由腺瘤组成的良性的肝损害胆汁管增殖。我们在场患食道的癌症的二个病人由 von Meyenburg 建筑群的出现伴随了。肝的外科手术前的计算机化的断层摄影术(CT ) 没显示出这些损害。在病人之一，弥漫的榴状的表明在两片肝脑叶被发现，模仿国王 diffuse 肝的转移。Intraoperative 冰冻切片在两个盒子中揭示了损害的良性的性质。没有复杂并发症，病人经历了食道的切除术。就我们的知识而言， von Meyenburg 建筑群和食道的癌症的巧合以前从来没被报导过。这个不平常的实体应该在恶意作为肝损害的鉴别诊断被考虑。它为未知起源的肝损害加重 intraoperative 冰冻切片的重要性。