CAJ | 학술논문

胰腺癌在美国是肿瘤导致死亡的第四大疾病。尽管国际上有多种以 T NM 为基础的关于胰腺癌的分期方式，比如U ICC分型和JPS分型，但这些分期对如何手术没有指导作用。目前，国内外仍然缺乏一个对规范外科手术方式的胰腺癌分型。我们根据胰腺肿瘤和血管的关系提出一种新的胰腺分型方式。这种分型将胰腺癌分为八种不同的类型，结合文献和我们中心的经验对每一型胰腺肿瘤提出其处理的建议。这种分型是首次以指导手术，规范外科治疗为目的的分型方法。该分型方式的提出有望提高手术安全性，手术切除R0率，为建立规范的胰腺外科手术术式打下基础。
이선암재미국시종류도치사망적제사대질병。진관국제상유다충이 T NM 위기출적관우이선암적분기방식，비여U ICC분형화JPS분형，단저사분기대여하수술몰유지도작용。목전，국내외잉연결핍일개대규범외과수술방식적이선암분형。아문근거이선종류화혈관적관계제출일충신적이선분형방식。저충분형장이선암분위팔충불동적류형，결합문헌화아문중심적경험대매일형이선종류제출기처리적건의。저충분형시수차이지도수술，규범외과치료위목적적분형방법。해분형방식적제출유망제고수술안전성，수술절제R0솔，위건립규범적이선외과수술술식타하기출。
Pancreatic cancer is the fourth most common cause of cancer‐related death in the United States .Despite the worldwide application of various terminological and classification systems used for pancreatic cancer , such UICC classification and JPS classification based on the TNM system ,however ,little information on their use in operative decision-making is available .We have herein first described a new classification system for pancreatic cancer that aims to guide the surgeon in making the best operative decisions according to the relationship with the tumor and key vasculature around the pancreas .Here ,we divided pancreatic carcinomas into the eight types and provided our operative decisions for the different types of pancreatic cancer . This 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 long‐term results .