Mizumoto R, Hamada T
Department of Surgery, Matsusaka City Hospital, Mie, Japan.
Nihon Geka Gakkai Zasshi. 2000 Dec;101(12):869-76.
Focusing mainly on invasive ductal carcinoma of the pancreas, the history of radical surgery for this type of cancer is reviewed, including pancreatoduodenectomy, total pancreatectomy, extended radical surgery with main vascular resection and extended lymphadenectomy/retroperitoneal soft-tissue clearance, pylorus-preserving pancreaticoduodenectomy. In addition, duodenum-preserving pancreatic head resection, which has recently attracted attention in this field, as an operative technique for less-malignant, noninvasive intraductal papillary adenocarcinoma is also reviewed.
本文主要聚焦于胰腺浸润性导管癌,回顾了该类型癌症的根治性手术历史,包括胰十二指肠切除术、全胰切除术、联合主要血管切除及扩大淋巴结清扫/腹膜后软组织清除的扩大根治性手术、保留幽门的胰十二指肠切除术。此外,还回顾了十二指肠保留型胰头切除术,该术式作为一种针对低恶性、非浸润性导管内乳头状腺癌的手术技术,近年来在该领域受到关注。