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[胰腺肿瘤的肿瘤外科治疗成果]

[Achievements of tumor surgery in tumors of the pancreas].

作者信息

Bodner E

机构信息

II. Universitätsklinik für Chirurgie, Innsbruck.

出版信息

Langenbecks Arch Chir. 1988;Suppl 2:133-8.

PMID:2467149
Abstract

In a retrospective analysis of 274 cases of ductal pancreatic cancer (uniform resection technique, no total pancreatectomy de principe) the resection rate was 28.1%, the death rate following duodenopancreatectomy 5.8%, cumulative 5-year-survival rate 11% in resected patients compared to 2.6% in all patients. Although discouraging, these results are still superior to non-surgical treatment. Three of four long-term survivors (greater than 5a) died from recurrent cancer. The question arises whether pancreatic cancer is surgically curable at all?

摘要

在一项对274例导管腺癌病例的回顾性分析中(采用统一的切除技术,原则上不进行全胰切除术),切除率为28.1%,十二指肠胰腺切除术后的死亡率为5.8%,切除患者的累积5年生存率为11%,而所有患者的5年生存率为2.6%。尽管这些结果令人沮丧,但仍优于非手术治疗。四名长期存活者(超过5年)中有三人死于癌症复发。胰腺癌究竟能否通过手术治愈的问题由此产生?

相似文献

1
[Achievements of tumor surgery in tumors of the pancreas].[胰腺肿瘤的肿瘤外科治疗成果]
Langenbecks Arch Chir. 1988;Suppl 2:133-8.
2
[Effect of tumor size and lymph node status on the prognosis of pancreatic cancer].[肿瘤大小和淋巴结状态对胰腺癌预后的影响]
Chirurg. 1989 Apr;60(4):240-5.
3
[Results of surgical treatment in ampullary and pancreatic carcinoma and its prognostic parameters after R0-resection].[壶腹癌和胰腺癌的外科治疗结果及其R0切除术后的预后参数]
Zentralbl Chir. 2005 Aug;130(4):353-61. doi: 10.1055/s-2005-836794.
4
[Cancer of the pancreatic head and the periampullary region].[胰头和壶腹周围区域癌]
Tidsskr Nor Laegeforen. 1990 Sep 30;110(23):2983-5.
5
[Clinical analysis of 150 cases with periampullary carcinoma].150例壶腹周围癌的临床分析
Zhonghua Zhong Liu Za Zhi. 1993 Jul;15(4):296-9.
6
Results of surgical treatment of periampullary tumors: a thirty-five-year experience.壶腹周围肿瘤的外科治疗结果:35年经验
Surgery. 1986 Oct;100(4):716-23.
7
Surgery for mucin-producing pancreatic tumor.黏液性胰腺肿瘤的手术治疗
Hepatogastroenterology. 1998 Nov-Dec;45(24):2009-15.
8
[Proximal duodenopancreatectomy in the treatment of tumors of the bilio-pancreatic junction].
Acta Chir Belg. 1984 Sep-Oct;84(5):319-25.
9
[The value of proximal duodenopancreatectomy for tumors of the biliary-pancreatic junction].[近端十二指肠胰切除术治疗胆胰管交界处肿瘤的价值]
Acta Chir Belg. 1984 Sep-Oct;84(5):313-8.
10
[Pancreatoduodenectomy using the Traverso-Longmire technique in the surgical treatment of carcinoma of the pancreas and periampullary region. Our experience].[采用Traverso-Longmire技术行胰十二指肠切除术治疗胰腺癌及壶腹周围癌。我们的经验]
Minerva Chir. 1991 Mar 31;46(6):247-50.

引用本文的文献

1
Guidelines for the management of patients with pancreatic cancer periampullary and ampullary carcinomas.胰腺癌、壶腹周围癌和壶腹癌患者的管理指南。
Gut. 2005 Jun;54 Suppl 5(Suppl 5):v1-16. doi: 10.1136/gut.2004.057059.
2
Pancreatic adenocarcinoma: why and when should it be resected?胰腺腺癌:为何以及何时应进行切除?
Postgrad Med J. 1997 Aug;73(862):469-75. doi: 10.1136/pgmj.73.862.469.