Huber P, Rosenberger J, Said S, Gross-Fengels W, Zech D, Dienst C
Med Klin (Munich). 1989 Aug 15;84(8):378-84.
Resection of the pancreas due to carcinoma represents with an operative mortality of 3.5% and three-year-survival of 15% an operative strategy, which should be carried out as a therapy of choice only on selected patients with an early cancer stage (ex. T1). But no other treatment offers the chance of long-time survival and curation. There seems to be no influence of operative therapy on patient prognosis in advanced cancer stages. In these cases, palliative treatment (ex. biliodigestive anastomosis or transcutaneous biliary drainage) are methods of choice. A main palliative aspect should be a painless patient. This can be achieved by oral or i.v. medication and/or chemical neurolysis of plexus coeliacus.
因癌症而进行的胰腺切除术，手术死亡率为3.5%，三年生存率为15%，这是一种手术策略，仅应作为早期癌症阶段（如T1期）特定患者的首选治疗方法来实施。但没有其他治疗方法能提供长期生存和治愈的机会。在癌症晚期，手术治疗似乎对患者预后没有影响。在这些情况下，姑息治疗（如胆肠吻合术或经皮经肝胆道引流）是首选方法。主要的姑息治疗目标应该是让患者无痛。这可以通过口服或静脉用药和/或腹腔神经丛化学性神经溶解来实现。
