Zhang T P, Luo W H, Qiu J D, Zhao Y P
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College,Chinese Academy of Medical Sciences, Beijing 100730, China.
Zhonghua Wai Ke Za Zhi. 2022 Jul 1;60(7):646-650. doi: 10.3760/cma.j.cn112139-20220329-00129.
With the progress of imaging technology and the popularization of healthy examination, the detection rate of pancreatic cystic neoplasm(PCN) has increased significantly. PCN has complex disease spectrum, strong heterogeneity, and diverse surgical treatment strategies. Surgical timing and methods directly affect patients' prognosis. Therefore, how to identify malignant tumors and formulate reasonable treatment strategies are the keys to treat PCN. Many guidelines for clinical diagnosis and treatment of PCN have been released, but there are still many disputes about its surgical indications. Hence, fully assessing the surgical indications is of great significance to improve the PCN patients' prognosis. This paper deeply discusses on the surgical indications of PCN by reviewing the current clinical diagnosis, treatment and research progress of PCN, in order to standardize the diagnosis and treatment of PCN.
随着成像技术的进步和健康检查的普及,胰腺囊性肿瘤(PCN)的检出率显著提高。PCN疾病谱复杂,异质性强,手术治疗策略多样。手术时机和方法直接影响患者预后。因此,如何识别恶性肿瘤并制定合理的治疗策略是治疗PCN的关键。目前已发布了许多PCN临床诊断和治疗指南,但关于其手术指征仍存在诸多争议。因此,全面评估手术指征对改善PCN患者的预后具有重要意义。本文通过回顾PCN目前的临床诊断、治疗及研究进展,深入探讨PCN的手术指征,以规范PCN的诊断和治疗。