Sulkowski U, Meyer J, Reers B, Pinger P, Waldner M
Klinik und Poliklinik für Allgemeine Chirurgie, Westfälischen Wilhelms-Universität Münster.
Zentralbl Chir. 1991;116(23):1325-32.
Based on the pitfalls of the past the development of pancreatic resection therapy is outlined, starting with the first distal pancreatic resection in 1882 performed by Trendelenburg. Giving details of operations from the first decades of this century the Whipple operation is described as the early cornerstone in the history of radical therapy of pancreatic cancer. Summarizing the disappointments of the seventies gives the clue to the present situation with a modified Whipple operation as the standard curative approach to pancreatic carcinoma today. Additionally, various aspects of palliative therapy for pancreatic carcinoma are discussed.
基于过去的种种缺陷,本文概述了胰腺切除术治疗方法的发展历程,始于1882年特伦德伦堡实施的首例胰体尾切除术。文中详细介绍了本世纪头几十年的手术操作,将惠普尔手术描述为胰腺癌根治治疗史上的早期基石。总结七十年代的失望之处,为当前的情况提供了线索,如今改良惠普尔手术是胰腺癌标准的根治性治疗方法。此外,还讨论了胰腺癌姑息治疗的各个方面。