根治性全胰切除术和完成性胰切除术治疗胰腺癌的适应证、结果和术后管理的综述：并非更多就更好。
A Review of the Indications, Outcomes, and Postoperative Management After Total and Completion Pancreatectomy for Pancreatic Cancer: More Is Not Necessarily Better.
机构信息
Emory University, 1365B Clifton Road, NE Building B, Suite 4100, Office 4202, Atlanta, GA 30302, USA.
Emory University, 1365B Clifton Road, NE Building B, Suite 4100, Office 4202, Atlanta, GA 30302, USA.
出版信息
Surg Clin North Am. 2024 Oct;104(5):1049-1064. doi: 10.1016/j.suc.2024.04.012. Epub 2024 May 23.
Abstract
With improvements in surgical technique and advances in pancreatic endocrine and exocrine replacement therapy, the indications for, and threshold to perform, total or completion pancreatectomy in the modern surgical era are ever evolving. The following review will evaluate such indications for pancreatic cancer including pancreatic ductal adenocarcinoma and intraductal papillary mucinous neoplasms. The authors also review the literature on oncologic outcomes of total and completion pancreatectomy for pancreatic cancer. Finally, they discuss the quality of life and postoperative management of the a-pancreatic state.
摘要
随着手术技术的改进和胰腺内分泌和外分泌替代治疗的进步，在现代外科时代，进行全胰切除术或完成性胰切除术的适应证和阈值不断演变。以下综述将评估胰腺癌的这些适应证，包括胰腺导管腺癌和胰管内乳头状黏液性肿瘤。作者还回顾了全胰切除术和完成性胰切除术治疗胰腺癌的肿瘤学结果的文献。最后，他们讨论了无胰腺状态的生活质量和术后管理。
相似文献
1
A Review of the Indications, Outcomes, and Postoperative Management After Total and Completion Pancreatectomy for Pancreatic Cancer: More Is Not Necessarily Better.根治性全胰切除术和完成性胰切除术治疗胰腺癌的适应证、结果和术后管理的综述：并非更多就更好。
Surg Clin North Am. 2024 Oct;104(5):1049-1064. doi: 10.1016/j.suc.2024.04.012. Epub 2024 May 23.
2
Prophylactic total pancreatectomy in individuals at high risk of pancreatic ductal adenocarcinoma (PROPAN): systematic review and shared decision-making programme using decision tables.预防性全胰切除术在高危人群中的应用（PROPAN）：使用决策表的系统评价和共享决策计划。
United European Gastroenterol J. 2020 Oct;8(8):865-877. doi: 10.1177/2050640620945534. Epub 2020 Jul 23.
3
Total pancreatectomy: indications, operative technique, and results: a single centre experience and review of literature.全胰切除术：适应证、手术技术和结果：单中心经验及文献复习。
Updates Surg. 2010 Aug;62(1):41-6. doi: 10.1007/s13304-010-0005-z.
4
Enucleation: A treatment alternative for branch duct intraductal papillary mucinous neoplasms.眼球摘除术：一种用于分支导管内乳头状黏液性肿瘤的治疗选择。
Surgery. 2017 Mar;161(3):602-610. doi: 10.1016/j.surg.2016.09.026. Epub 2016 Nov 22.
5
Laparoscopic resection of exocrine carcinoma in central and distal pancreas results in a high rate of radical resections and long postoperative survival.腹腔镜下切除胰腺中央和远端的外分泌癌可实现高比例的根治性切除和术后长期生存。
Surgery. 2012 May;151(5):717-23. doi: 10.1016/j.surg.2011.12.016. Epub 2012 Jan 28.
6
Duodenum and ventral pancreas preserving subtotal pancreatectomy for low-grade malignant neoplasms of the pancreas: An alternative procedure to total pancreatectomy for low-grade pancreatic neoplasms.十二指肠和胰体尾联合切除术保留部分胰腺治疗胰腺低度恶性肿瘤：一种治疗胰腺低度肿瘤的替代全胰切除术的术式。
World J Gastroenterol. 2017 Sep 21;23(35):6457-6466. doi: 10.3748/wjg.v23.i35.6457.
7
Is there still a role for total pancreatectomy?全胰切除术是否仍有其作用？
Ann Surg. 2007 Dec;246(6):966-74; discussion 974-5. doi: 10.1097/SLA.0b013e31815c2ca3.
8
Combined pancreatic resection and pancreatic duct-navigation surgery for multiple lesions of the pancreas: intraductal papillary mucinous neoplasm of the pancreas concomitant with ductal carcinoma of the pancreas.联合胰腺切除术与胰腺导管导航手术治疗胰腺多发病变：胰腺导管内乳头状黏液性肿瘤合并胰腺导管腺癌。
Hepatogastroenterology. 2008 Sep-Oct;55(86-87):1830-3.
9
[Limited pancreatic resections for intraductal papillary mucinous neoplasm].[导管内乳头状黏液性肿瘤的局限性胰腺切除术]
J Chir (Paris). 2008 Nov-Dec;145(6):568-78. doi: 10.1016/s0021-7697(08)74688-x.
10
Binding pancreaticogastrostomy in laparoscopic central pancreatectomy: a novel technique in laparoscopic pancreatic surgery.腹腔镜中央胰腺切除术中的捆绑式胰胃吻合术：腹腔镜胰腺手术中的一项新技术。
Surg Endosc. 2016 Feb;30(2):715-720. doi: 10.1007/s00464-015-4265-z. Epub 2015 Jun 27.
本文引用的文献
1
International evidence-based Kyoto guidelines for the management of intraductal papillary mucinous neoplasm of the pancreas.国际循证京都指南：胰腺导管内乳头状黏液性肿瘤的管理。
Pancreatology. 2024 Mar;24(2):255-270. doi: 10.1016/j.pan.2023.12.009. Epub 2023 Dec 28.
2
Systematic review of challenging issues in pathology of intraductal papillary mucinous neoplasms.系统综述：导管内乳头状黏液性肿瘤病理学中的挑战性问题
Pancreatology. 2023 Nov;23(7):878-891. doi: 10.1016/j.pan.2023.08.002. Epub 2023 Aug 11.
3
Neoadjuvant therapy for pancreatic cancer.胰腺癌的新辅助治疗。
Nat Rev Clin Oncol. 2023 May;20(5):318-337. doi: 10.1038/s41571-023-00746-1. Epub 2023 Mar 17.
4
Diabetes management in patients undergoing total pancreatectomy: A single center cohort study.接受全胰切除术患者的糖尿病管理：一项单中心队列研究。
Front Endocrinol (Lausanne). 2023 Feb 13;14:1097139. doi: 10.3389/fendo.2023.1097139. eCollection 2023.
5
Comparison of Invasive Pancreatic Ductal Adenocarcinoma versus Intraductal Papillary Mucinous Neoplasm: A National Cancer Database Analysis.浸润性胰腺导管腺癌与导管内乳头状黏液性肿瘤的比较：一项国家癌症数据库分析
Cancers (Basel). 2023 Feb 13;15(4):1185. doi: 10.3390/cancers15041185.
6
Bihormonal Artificial Pancreas With Closed-Loop Glucose Control vs Current Diabetes Care After Total Pancreatectomy: A Randomized Clinical Trial.闭环葡萄糖控制的双激素人工胰腺与全胰切除术后的常规糖尿病治疗的比较：一项随机临床试验。
JAMA Surg. 2022 Oct 1;157(10):950-957. doi: 10.1001/jamasurg.2022.3702.
7
Predictors, Patterns, and Timing of Recurrence Provide Insight into the Disease Biology of Invasive Carcinomas Arising in Association with Intraductal Papillary Mucinous Neoplasms.预测因子、模式和复发时间为研究与导管内乳头状黏液性肿瘤相关的浸润性癌的疾病生物学提供了深入了解。
J Gastrointest Surg. 2022 Nov;26(11):2311-2320. doi: 10.1007/s11605-022-05428-4. Epub 2022 Aug 1.
8
Comparison of oncologic outcomes between pancreaticoduodenectomy and total pancreatectomy for pancreatic adenocarcinoma.胰头十二指肠切除术与全胰切除术治疗胰腺腺癌的肿瘤学结局比较。
Surg Endosc. 2023 Jan;37(1):109-119. doi: 10.1007/s00464-022-09441-1. Epub 2022 Jul 18.
9
Landmark Series: Importance of Pancreatic Resection Margins.里程碑系列：胰腺切除切缘的重要性。
Ann Surg Oncol. 2022 Mar;29(3):1542-1550. doi: 10.1245/s10434-021-11168-7. Epub 2022 Jan 5.
10
2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2022.2. 糖尿病的分类和诊断：2022 年糖尿病医疗护理标准。
Diabetes Care. 2022 Jan 1;45(Suppl 1):S17-S38. doi: 10.2337/dc22-S002.
Zotero 插件