胰腺癌外科治疗的现状与展望.pdfVIP

中国癌症杂志 2009年第19卷第8期 《 》 570 CHINA ONCOLOGY 2009 Vol.19 No.8 王单松 ，医学博士，复旦大学附属中山医院普外科胰腺肿瘤 专业组副主任医师，主攻胰腺肿瘤的临床和基础研究。承担 国家自然基金、上海市自然基金和复旦大学青年基金等多项 课题，近年在国内核心期刊发表论文20余篇。 胰腺癌外科治疗的现状与展望 王单松　楼文晖 复旦大学附属中山医院普外科胰腺肿瘤专业组，上海 200032 　　［摘要］　胰腺癌的发病率呈逐年上升趋势，根治性切除是目前治疗胰腺癌的首选治疗手段。近年来胰腺 癌的外科治疗取得了很大的进步，围手术期并发症和死亡率均显著下降，但胰腺癌患者切除后远期生存率仍不 高。标准胰十二指肠切除术是目前治疗胰头癌的主要术式，扩大淋巴清扫术并不能改善患者的预后。全胰切除 术可用于治疗胰管内乳头状黏液性肿瘤，对胰腺癌不主张常规采用。本文就胰腺癌外科治疗的现状和发展趋势 作一概述。 ［关键词］ 　　 　胰腺癌；　外科治疗 　　中图分类号：R739.5；R730.56　　文献标识码：A　　文章编号：1007-3639(2009)08-0570-04 Surgical treatment of pancreatic cancer: present status and future　WANG Dan-song,LOU Wen- hui (Pancreatic Cancer Service,Department of General Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China) Correspondence to：LOU Wen-hui　E-mail：wenhuilou@ 　　［Abstract ］ The incidence of pancreatic cancer has steadily risen in the past decades. Radical resection is still the best option for treatment of pancreatic cancer. Great progress has been achieved in pancreatic surgery; the mortality and morbidity have decreased dramatically, but long term survival after resection is still dismal. Standard pancreaticoduodenectomy is recommended now for pancreatic head cancer. Extended lymphadenectomy could not improve the prognosis of pancreatic cancer patients. Total pancreatectomy is suitable for some IPMNs patients, rather than a routine for pancreatic cancer patients. The current status and future of surgical treatment for pancreatic cancer will be summarized here. Key words pancreatic cancer; surgery