胰腺癌患者手术治疗分析

Nikita Mikolenko
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摘要

手术治疗胰头、胰尾肿瘤是唯一的根治方法。手术的主要禁忌症是远处转移、肿瘤侵犯大的动脉血管(肠系膜上动脉、肝总动脉、腹腔干)、肿瘤侵犯大的静脉干(无重建前景的肠系膜上静脉)以及严重的并发症。迄今为止,治疗胰腺头部肿瘤的最佳手术是胃胰十二指肠切除术,治疗胰腺尾部肿瘤的最佳手术是胰腺远端次全切除术和脾切除术。这些手术的主要入路是正中开腹手术。在本文中,我们将分析在本中心进行的胰腺癌手术干预。
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Analysis of surgical treatment of patients with pancreatic cancer
Surgical treatment of tumors of the head of the pancreas, tail of the pancreas is the only radical treatment option. The main contraindications to surgery are distant metastasis, tumor invasion into large arterial vessels (superior mesenteric artery, common hepatic artery, celiac trunk), tumor invasion into large venous trunks (superior mesenteric vein in the absence of reconstruction prospects), and severe concomitant pathology. To date, the most optimal operations used for tumors of the head of the pancreas are gastropancreatoduodenal resection, and for tumors of the tail - distal subtotal resection of the pancreas, splenectomy. The main access for these operations is median laparotomy. In our article, we will analyze the surgical interventions that have been performed for pancreatic cancer in our center.
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