按从左至右的顺序进行胰腺十二指肠切除术时对胰周淋巴结进行采样。
FROM LEFT TO RIGHT. PARA-AORTIC LYMPH NODES SAMPLING DURING PANCREATODUODENECTOMY FOR PANCREATIC CANCER.
机构信息
Ambroise Paré Hospital, Department of Digestive and Oncologic Surgery - Boulogne-Billancourt, France.
Paris Saclay University, Versailles St-Quentin-en-Yvelines - Montigny-le-Bretonneux, France.
出版信息
Arq Bras Cir Dig. 2023 Nov 13;36:e1772. doi: 10.1590/0102-672020230054e1772. eCollection 2023.
BACKGROUND
Para-aortic lymph nodes involvement in pancreatic head cancer has been described as an independent adverse prognostic factor. To avoid futile pancreatic resection, we systematically perform para-aortic lymphadenectomy as a first step.
AIMS
To describe our technique for para-aortic lymphadenectomy.
METHODS
A 77-year-old female patient, with jaundice and resectable pancreatic head adenocarcinoma, underwent pancreaticoduodenectomy associated with infracolic lymphadenectomy.
RESULTS
The infracolic anterior technique has two main advantages. It is faster and prevents the formation of postoperative adhesions, which can make subsequent surgical interventions more difficult.
CONCLUSIONS
We recommend systematic para-aortic lymphadenectomy as the first step of pancreaticoduodenectomy for pancreatic head adenocarcinoma by this approach.
背景
在胰头癌中，腹主动脉旁淋巴结受累被描述为一个独立的不良预后因素。为了避免无效的胰腺切除术，我们系统地进行腹主动脉旁淋巴结清扫作为第一步。
目的
描述我们的腹主动脉旁淋巴结清扫技术。
方法
一位 77 岁女性患者，有黄疸和可切除的胰头腺癌，接受了胰十二指肠切除术和结肠下淋巴结清扫术。
结果
结肠下前入路有两个主要优点。它更快，并且可以防止术后粘连的形成，这可能使后续的手术干预更加困难。
结论
我们建议通过这种方法，将系统的腹主动脉旁淋巴结清扫作为胰头腺癌胰十二指肠切除术的第一步。
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