Bailey I S, Keating J, Johnson C D
University Surgical Unit, Southampton General Hospital.
Ann R Coll Surg Engl. 1991 Jul;73(4):243-7.
This debate discusses the palliative management of pancreatic cancer. The arguments in favour of surgical palliation are that this approach allows all symptoms to be treated or prevented, the diagnosis can be confirmed histologically and a final assessment of resectability can be made. The arguments against the use of surgery are that survival is short and that effective alternative therapies are available: endoscopic intubation, percutaneous coeliac plexus block and pancreatic enzyme supplements. The most appropriate policy, however, is to tailor the management plan to suit the individual patient.
本次辩论讨论了胰腺癌的姑息治疗。支持手术姑息治疗的观点是，这种方法能对所有症状进行治疗或预防，可以通过组织学确诊，并且能够对可切除性进行最终评估。反对手术治疗的观点是，患者生存期短，且有有效的替代疗法：内镜插管、经皮腹腔神经丛阻滞和胰酶补充剂。然而，最合适的策略是根据患者个体情况制定治疗方案。
