Tersigni R, Rossi P, Bochicchio O, Pavone P, Cavallini M, Alessandroni L, Arena L, Bufalini G, Armeni O, Dorkin M
Ital J Surg Sci. 1985;15(1):31-6.
The role of angiography as a diagnostic approach and surgical assessment of resectability in pancreatic cancer patients is considered. Pre-operative arteriography of the celiac axis and superior mesenteric artery was performed in 27 patients with surgically proved pancreatic cancer. The operatibility of each patient was assessed according to arteriographic findings. The arteriographic features considered to establish tumor unresectability included: neoplastic arterial encasement or displacement, multiple involvement of pancreatic arteries, involvement of portal, splenic or superior mesenteric veins, liver metastasis. Nineteen angiographically predicted unresectable lesions proved to be unresectable at surgery. Of the eight additional patients who showed no remarkable unresectable angiographic features, 6 were confirmed resectable, while 2 were unresectable. Angiography was shown to be very accurate in differentiating resectable from unresectable cancer of the pancreas.
研究了血管造影术在胰腺癌患者诊断及手术可切除性评估中的作用。对27例经手术证实为胰腺癌的患者进行了术前腹腔干和肠系膜上动脉造影。根据血管造影结果评估每位患者的手术可行性。被认为可确定肿瘤无法切除的血管造影特征包括：肿瘤包绕或移位动脉、胰腺动脉多处受累、门静脉、脾静脉或肠系膜上静脉受累、肝转移。血管造影预测为不可切除的19个病变在手术中证实无法切除。另外8例未显示明显不可切除血管造影特征的患者中，6例被证实可切除，2例不可切除。结果表明，血管造影术在区分可切除与不可切除的胰腺癌方面非常准确。
