Dobrowolski F, Saeger H D
Klinik und Poliklinik für Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden.
Zentralbl Chir. 2003 May;128(5):424-8. doi: 10.1055/s-2003-40040.
A more distinct histopathological classification of pancreatic tumours has been developed during the last years. However, up to now the preoperative diagnostic tools are not able to predict sufficiently the kind of the tumour, particularly the differentiation between benign and malignant. This is the prior condition for limited resection procedures like the enucleation. Therefore partial pancreatic resection is the treatment of choice even for benign tumours except for small insulinomas. These tumours are easy to diagnose, have only a limited potential for malignancy and are removed by enucleation. We report on our experience will 60 benign cases (50 cystic neoplasms, 10 neuroendocrine tumours) during the last 8.5 years in our institution with the following operative procedures: 2 total pancreatectomies, 21 pancreatic head resections, 25 left pancreatectomies, 10 pancreas segmental resections amd 2 enucleations.
在过去几年中，已经形成了一种更具区分性的胰腺肿瘤组织病理学分类方法。然而，到目前为止，术前诊断工具仍无法充分预测肿瘤的类型，尤其是良性和恶性之间的区分。这是诸如摘除术等有限切除手术的前提条件。因此，除了小的胰岛素瘤外，即使是良性肿瘤，胰腺部分切除术也是首选的治疗方法。这些肿瘤易于诊断，恶性潜能有限，可通过摘除术切除。我们报告了我们机构在过去8.5年中对60例良性病例（50例囊性肿瘤，10例神经内分泌肿瘤）采用以下手术方法的经验：2例全胰切除术，21例胰头切除术，25例左半胰切除术，10例胰腺节段切除术和2例摘除术。
