Grenacher L, Juchems M
Diagnostikzentrum für Radiologie, Nuklearmedizin und Prävention, MVZ Radiologisch-nuklearmedizinisches Diagnostikzentrum Augustenstraße/München GmbH, Diagnostik München, Augustenstraße 115, 80798, München, Deutschland.
Diagnostische und Interventionelle Radiologie, Klinikum Konstanz, Konstanz, Deutschland.
Radiologe. 2017 Dec;57(12):1075-1090. doi: 10.1007/s00117-017-0326-8.
By improving the techniques of pancreatic surgery, the mortality and morbidity for pancreatic carcinoma could be significantly reduced. For radiologists a profound knowledge of the surgical techniques is of decisive importance. Based on this knowledge postoperative complications can be reliably uncovered and local recurrences can be detected at an early stage. The complications resulting from pancreatic surgery can be severe and often necessitate a radiological intervention. As pancreatic cancer itself is a severe disease with a poor 5‑year survival, which can only be improved by an R0 resection, it is crucial to identify using imaging those patients who are primarily operable or who can potentially achieve an operable condition through neoadjuvant chemotherapy (borderline) and inoperable patients to avoid postoperative complications which would additionally weaken them and result in unnecessary delays in initiating palliative therapy. Thus, familiarity with the clinical criteria of resectability and also inoperability in pancreatic cancer nowadays represents an essential basic knowledge for every oncological radiologist.
通过改进胰腺手术技术，胰腺癌的死亡率和发病率可显著降低。对于放射科医生而言，深入了解手术技术至关重要。基于这一知识，术后并发症能够被可靠地发现，局部复发也能在早期被检测出来。胰腺手术引发的并发症可能很严重，常常需要进行放射学干预。由于胰腺癌本身是一种严重疾病，5年生存率低，只有通过R0切除才能改善，因此利用影像学识别那些主要可手术切除的患者、那些通过新辅助化疗有可能达到可手术状态（临界可切除）的患者以及不可手术切除的患者至关重要，以避免术后并发症进一步削弱他们，并导致姑息治疗开始的不必要延迟。因此，熟悉胰腺癌可切除性以及不可切除性的临床标准如今是每位肿瘤放射科医生必不可少的基础知识。
