门静脉系统汇合部受侵胰腺癌的外科治疗策略  

Surgical treatment strategy for pancreatic cancer with invasion of spleno-mesenterico-portal cofluence

作　　者：郎韧[1] 黄金灿 吕少诚[1] 贺强[1] Lang Ren;Huang Jincan;Lyu Shaocheng;He Qiang(Department of Hepatobiliary Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院肝胆外科,北京100020

出　　处：《中华肝胆外科杂志》2022年第8期567-571,共5页Chinese Journal of Hepatobiliary Surgery

基　　金：首都卫生发展科研专项(2020-2-2036)。

摘　　要：胰腺癌是消化系统常见的恶性肿瘤之一,其恶性程度高,五年生存率不足10%。由于肿瘤生物学行为和胰腺的局部毗邻关系,胰腺癌极易侵犯临近的门静脉、肠系膜上静脉、脾静脉,手术切除困难,根治性外科切除仍是改善预后的关键。对于门静脉系统汇合部受侵的胰腺癌,手术R0切除的难度进一步提高,因此合理切除受侵血管、完成血管重建十分重要。本文对不同血管重建方式进行总结,并结合我中心的临床经验,旨在分析门静脉系统汇合部受侵的胰腺癌的外科治疗策略。Pancreatic cancer is one of the most common malignant digestive tumors with high malignancy and poor five-year survival.Due to the biological behavior of tumor and local adjacency,pancreatic cancer is frequently invaded to adjacent portal vein,superior mesenteric vein,and splenic vein,making surgical resection difficult.For pancreatic cancer with invasion of spleno-mesenterico-portal confluence,the difficulty of surgical R0 resection is further increased,so it is important to reasonably resect the invaded vessels and complete vascular reconstruction.In this research,we summarized the different revascularization approaches in our center,aiming to analyze the surgical treatment strategy for pancreatic cancer with invasion of spleno-mesenterico-portal confluence.

关 键 词：胰腺肿瘤 血管侵犯 异体血管 外科手术 

分 类 号：R735.9[医药卫生—肿瘤]