The progression of the extent of lymph node dissection in radical resection of pancreatic head cancer / 中华外科杂志
Chinese Journal of Surgery
; (12): 251-255, 2023.
Article
em Zh
| WPRIM
| ID: wpr-970187
Biblioteca responsável:
WPRO
ABSTRACT
Pancreatic cancer is a malignant tumor of digestive system with poor prognosis,and surgical resection is still the only hope for a radical cure. Although the current consensus and guidelines describe in detail the standard and extended range of lymph node dissection,the selection of specific range of lymph node dissection and its impact on prognosis are still controversial. Current studies have not only proposed some improved extent of lymph node dissection, such as total mesopancreas excision and Heidelberg triangle dissection, but also suggested different extent of lymph node dissection for ventral and dorsal pancreatic head cancer. In addition, the prognosis of pancreatic head cancer in uncinate process and non-uncinate process is different after para-aortic lymph node dissection, which is worthy of further study. Neoadjuvant therapy or conversion therapy provides more surgical opportunities for patients with pancreatic cancer. For these patients, Heidelberg triangle dissection has potential value in improving prognosis. This paper summarizes the exploration and latest progress of standard and extended lymph node dissection, lymph node dissection of specific site of pancreatic head cancer and the extent of lymph node dissection after neoadjuvant/transformation therapy in recent years.
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pâncreas
/
Neoplasias Pancreáticas
/
Prognóstico
/
Excisão de Linfonodo
/
Linfonodos
Limite:
Humans
Idioma:
Zh
Revista:
Chinese Journal of Surgery
Ano de publicação:
2023
Tipo de documento:
Article