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R0 resection of pancreatic head carcinoma: Definition of surgical margins and influencing factors

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Author:: No author available

Journal Title:: World Chinese Journal of Digestology

Issue:: 9

DOI:: 10.11569/wcjd.v24.i9.1315

Key Word:: R0切除;胰腺系膜;胰腺全系膜切除;胰头癌;胰十二指肠切除术;R0 resection;Mesopancreas;Total mesopancreas excision;Pancreatic head carcinoma;Pancreaticoduodenectomy

Abstract：胰头癌早期诊断困难,确诊时常已发展至晚期,预后差,5年生存率不超过6％.R0切除是胰头癌患者可能获得长期生存机会的唯一方法.大量临床研究表明,腹膜后组织清扫范围不够是胰头癌患者无法达到R0切除的重要原因.胰腺系膜和胰腺全系膜切除(total mesopancreas excision,TMpE)概念的提出更好地定义了手术中腹膜后的清扫范围,从而更有效地提高了R0切除率.

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