| 刘承利,张洪义,Waldemar Uhl.德国胰腺癌的外科治疗进展及术式特点[J].肿瘤学杂志,2015,21(10):789-794. |
| 德国胰腺癌的外科治疗进展及术式特点 |
| Features of Operation and Progress of Surgical Treatment for Pancreatic Cancer in Germany |
| 投稿时间：2015-03-16 |
| DOI：10.11735/j.issn.1671-170X.2015.10.B002 |
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| 中文关键词: 胰腺肿瘤 外科治疗 德国 |
| 英文关键词:pancreatic neoplasms surgical treatment Germany |
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| 摘要点击次数: 1954 |
| 全文下载次数: 704 |
| 中文摘要: |
| 摘 要：德国每年新发胰腺导管腺癌病例约16000例，2010年死亡约15500例，其发病率与死亡率相当，5年生存率仅8%，为所有癌症中最低的。确诊较晚、早期转移和可治愈性的切除率低是胰腺癌高病死率的主要原因。本文结合作者在德国学习期间的经验及文献复习，就德国胰腺癌外科治疗的目标、病理分级要求、可切除性判断指标、术前胆道引流、腹腔淋巴结清扫范围、胰十二指肠切除术式特点以及复发再手术问题等近年来的最新进展作一简要综述。 |
| 英文摘要: |
| Abstract：There are about 16000 new cases of ductal pancreatic carcinoma in Germany every year. In 2010，ductal pancreatic carcinoma caused approximately 15500 deaths. Its incidence and annual mortality are numerically very close，and its 5-year survival rate of 8% is the lowest among all types of cancer in Germany. Late diagnosis，early metastasis and the resulting low number of curative resective procedures contribute to the high mortality of this disease. In this review，the auther discusses the goal of surgical resection and histopathological classification，criteria for resectability， preoperative biliary drainage，lymphadenectomy，features of pancreaticoduodenectomy and redo-surgery following curative resection of pancreatic carcinoma. The new progress in recent years has been made in this brief review. |
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