[胰腺癌的外科治疗--有什么新进展?]

4区 医学 Q3 Medicine Chirurg Pub Date : 2022-05-01 Epub Date: 2022-03-31 DOI:10.1007/s00104-022-01618-7
Thomas Schmidt, Orlin Belyaev, Waldemar Uhl, Christiane J Bruns
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引用次数: 1

摘要

胰腺导管腺癌的发病率持续上升,到 2030 年将成为欧洲和美国癌症相关死亡的第二大原因。5年总生存率不到10%,预后仍然很差。迄今为止,手术切除肿瘤仍是唯一的根治性治疗方案,而现在多模式新辅助治疗和辅助治疗理念已部分支持了这一治疗方案。由于肿瘤生物学具有侵袭性,晚期胰腺癌患者尤其可以从这些多模式治疗理念中获益。此外,近年来手术治疗得到了优化,肿瘤可切除性的标准得到了界定,微创手术也被广泛引入。这篇综述文章总结了胰腺癌手术治疗的最新进展和新的德国 S3 指南。
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[Surgical treatment of pancreatic cancer-What is new?]

The incidence of pancreatic ductal adenocarcinoma is continuously increasing and will become the second leading cause of cancer-related death in Europe and the USA by 2030. With a 5-year overall survival rate of less than 10% the prognosis remains poor. So far surgical tumor resection remains the only curative treatment option, which is now partially supported by multimodal neoadjuvant and adjuvant therapy concepts. Due to the aggressive tumor biology patients with advanced pancreatic cancer in particular can profit from these multimodal therapy concepts. Additionally, in recent years surgical treatment was optimized, the criteria for tumor resectablity were defined and minimally invasive surgery was widely introduced. This review article summarizes the newest developments and the new German S3 guidelines concerning surgery of pancreatic cancer.

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来源期刊
Chirurg
Chirurg 医学-外科
CiteScore
1.10
自引率
0.00%
发文量
91
审稿时长
4-8 weeks
期刊介绍: Der Chirurg; Zeitschrift fur Alle Gebiete der Operativen Medizen The magazine is intended for surgeons in hospitals, clinics and research. Each issue includes a comprehensive theme: Practical summaries access to selected topics and provide the reader with a compilation of current knowledge in all fields of surgery. Besides imparting relevant background knowledge, the emphasis is on the review of scientific results and practical experience. The reader will find concrete recommendations.
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