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由于胰头癌向胰周侵犯和淋巴结转移都发生较早,而目前在早期诊断、手术技术及综合治疗上都未臻完善,因而疗效仍很差.其中手术操作的不规范可能是预后不佳的重要原因之一.因此,国内外不少学者提出了胰头癌根治术的合理切除范围问题.本文作者提出了胰头癌扩大根治性胰大部切除和扩大全胰切除的概念及技术要求,强调仔细清除周围淋巴结和软组织,特别是要完整切除胰钩及清除后腹膜间隙组织,不要偏重于追求手术速度,使胰头癌根治术的术式逐渐规
Because the pancreatic head cancer invasion to the pancreas circumference and lymph node metastasis occurred earlier, but at present is not perfect in the early diagnosis, surgical techniques and comprehensive treatment, and therefore the efficacy is still poor. The non-standard operation may be poor prognosis One of the important reasons is that, therefore, many scholars at home and abroad proposed a reasonable range of resection of pancreatic head cancer radical surgery. The authors of this article proposed the concept and technical requirements for extended radical pancreatic pancreatic resection and extended pancreatic resection. , emphasizes careful removal of lymph nodes and soft tissue around, especially to complete resection of the pancreas and clearance of the posterior peritoneal space tissue, do not emphasize the pursuit of surgical speed, so that the operation of the pancreatic head cancer radical surgery gradually