CAJ | 학술논문

胰腺癌恶性程度高,根治性切除是获得长期生存的唯一治疗方法.为了改善胰头癌患者预后,外科医师在过去的几十年里运用各种积极的手术切除策略以求征服胰头癌.通过分析胰头癌行根治性胰十二指肠切除、区域淋巴清扫、后腹膜神经丛的清扫、胰头癌联合血管切除的文献资料,探讨胰头癌根治性切除的范围与争议.胰腺全系膜切除在改善胰头癌患者预后是一项创新而有前景的手术方式.然而,需要大样本量的后续研究来提高该手术方式的循证医学证据级别.
이선암악성정도고,근치성절제시획득장기생존적유일치료방법.위료개선이두암환자예후,외과의사재과거적궤십년리운용각충적겁적수술절제책략이구정복이두암.통과분석이두암행근치성이십이지장절제、구역림파청소、후복막신경총적청소、이두암연합혈관절제적문헌자료,탐토이두암근치성절제적범위여쟁의.이선전계막절제재개선이두암환자예후시일항창신이유전경적수술방식.연이,수요대양본량적후속연구래제고해수술방식적순증의학증거급별.
Pancreatic carcinoma is a high malignancy,as radical resection is the only cure for long-term survival.In an attempt to improve outcomes and prognosis,surgeons over the decades have employed various active surgical strategies to combat this disease.Through document analyses of radical pancreaticoduodenectomy for pancreatic head carcinoma,regional lymphadenectomy,retroperitoneal nerve dissection,and combined vessel resection,the extent and disputes about radical resection for pancreatic head carcinoma are investigated.Total mesopancreas excision appears to be a novel and promising surgical procedure for the improvement of prognosis of patients with pancreatic head carcinoma.However,further studies based on the data of larger number of patients are mandatory to raise the evidence for this surgical procedure.