Surgical treatment of pancreatic head cancer: concept revolutions and arguments

• 作 者: Zhe Cao Jianwei Xu Qianqian Shao Taiping Zhang Yupei Zhao
• 机 构: Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sci
• 出 处: Chinese Journal of Cancer Research
• 发表日期: 2015年04期
• 关键词: palliative excision thorough numerous metastasis recurrence intraoperative lymph

As we have a deeper and more thorough understanding of the biological behavior of pancreatic head cancer, surgical treatment concepts of this lethal disease are changing all the time. Meanwhile, numerous arguments emerge. Thus, we will probe into the focuses and arguments in the surgical treatment of pancreatic head cancer in this article, including the scope of lymphadenectomy, total mesopancreas excision(TMp E), vascular resection, minimally invasive pancreaticoduodenectomy(PD), palliative resection, surgery for recurrent disease and surgery for primary pancreatic cancer and liver metastasis.

As we have a deeper and more thorough understanding of the biological behavior of pancreatic head cancer, surgical treatment concepts of this lethal disease are changing all the time. Meanwhile, numerous arguments emerge. Thus, we will probe into the focuses and arguments in the surgical treatment of pancreatic head cancer in this article, including the scope of lymphadenectomy, total mesopancreas excision (TMp E), vascular resection, minimally invasive pancreaticoduodenectomy (PD), palliative resection, surgery for recurrent disease and surgery for primary pancreatic cancer and liver metastasis.