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胰头癌术中淋巴结清扫的意义与争议
作者:嵇惠宇1  刘胜利2 
单位:1. 东南大学 医学院, 江苏 南京 210009;
2. 东南大学附属中大医院 肝胆胰外科, 江苏 南京 210009
关键词:胰头癌 淋巴结清扫 扩大淋巴结清扫 文献综述 
分类号:R735.9
出版年·卷·期(页码):2015·34·第五期(847-850)
摘要:

胰头癌淋巴转移早,手术时需要进行淋巴结清扫,淋巴结阳性率与患者术后生存关系密切。胰头癌患者预后可能从规范淋巴结清扫中获益,但是否需要扩大淋巴结清扫尚需要积累更多证据。

参考文献:

[1] American Cancer Society.Cancer Facts & Figures.Atlanta:American Cancer Society,2013.
[2] 陈万青,郑荣寿,曾红梅,等.2011年中国恶性肿瘤发病和死亡分析[J].中国肿瘤,2015(1):1-10.
[3] HARTWIG W,WERNER J,JAGER D,et al.Improvement of surgical results for pancreatic cancer[J].Lancet Oncol,2013,14(11):e476-e485.
[4] 刘辰,许文彦,龙江,等.胰头癌淋巴结转移的特性及其相关影响因素的研究[J].中国癌症杂志,2012(8):583-588.
[5] 傅德良.胰腺癌淋巴结转移的特性及手术治疗[J].上海医药,2014(8):3-7.
[6] KAWARADA Y.New classification of pancreatic carcinoma-Japan Pancras Socirty[J].Nihon Shokakibyo Gakkai Zasshi,2003,100(8):974-980.
[7] SVORONOS C,TSOULFAS G,KATSOURAKIS A,et al.Role of extended lymphadenectomy in the treatment of pancreatic head adenocarcinoma:review and meta-analysis[J].ANZ J Surg,2014,84(10):706-711.
[8] CHIANG K C,YEH C N,LEE W C,et al.Prognostic analysis of patients with pancreatic head adenocarcinoma less than 2 cm undergoing resection[J].World J Gastroenterol,2009,15(34):4305-4310.
[9] NIMURA Y,NAGINO M,TAKAO S,et al.Standard versus extended lymphadenectomy in radical pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas:long-term results of a Japanese multicenter randomized controlled trial[J].J Hepatobiliary Pancreat Sci,2012,19(3):230-241.
[10] KATO K,YAMADA S,SUGIMOTO H,et al.Prognostic factors for survival after extended pancreatectomy for pancreatic head cancer:influence of resection margin status on survival[J].Pancreas,2009,38(6):605-612.
[11] ZACHARIAS T,JAECK D,OUSSOULTZOGLOU E,et al.Impact of lymph node involvement on long-term survival after R0 pancreaticoduodenectomy for ductal adenocarcinoma of the pancreas[J].J Gastrointest Surg,2007,11(3):350-356.
[12] VUARNESSON H,LUPINACCI R M,SEMOUN O,et al.Number of examined lymph nodes and nodal status assessment in pancreaticoduodenectomy for pancreatic adenocarcinoma[J].Eur J Surg Oncol,2013,39(10):1116-1121.
[13] TOL J A,GOUMA D J,BASSI C,et al.Definition of a standard lymphadenectomy in surgery for pancreatic ductal adenocarcinoma:a consensus statement by the International Study Group on Pancreatic Surgery(ISGPS)[J].Surgery,2014,156(3):591-600.
[14] HELLAN M,SUN C L,ARTINYAN A,et al.The impact of lymph node number on survival in patients with lymph node-negative pancreatic cancer[J].Pancreas,2008,37(1):19-24.
[15] BHATTI I,PEACOCK O,AWAN A K,et al.Lymph node ratio versus number of affected lymph nodes as predictors of survival for resected pancreatic adenocarcinoma[J].World J Surg,2010,34(4):768-775.
[16] RIEDIGER H,KECK T,WELLNER U,et al.The lymph node ratio is the strongest prognostic factor after resection of pancreatic cancer[J].J Gastrointest Surg,2009,13(7):1337-1344.
[17] YAMAMOTO Y,IKOMA H,MORIMURA R,et al.The clinical impact of the lymph node ratio as a prognostic factor after resection of pancreatic cancer[J].Anticancer Res,2014,34(5):2389-2394.
[18] 孙备,苏维宏.胰头癌行胰十二指肠切除术淋巴结清扫范围及手术技巧[J].中国普外基础与临床杂志,2014(7):789-793.
[19] 中华医学会外科学分会胰腺外科学组.胰腺癌诊治指南(2014)[J].临床肝胆病杂志,2014,30(12):1240-1245.
[20] 高桥伸.胰头癌的D2+α淋巴结廓清术[M]//木村理.要点与盲点:胰脾外科.董家鸿主译.北京:人民卫生出版社,2013:152-154.
[21] 罗国培,肖志文,刘祖强,等.胰腺癌淋巴转移诊治进展与处理规范[J].中国癌症杂志,2014(2):81-86.
[22] CAPUSSOTTI L,MASSUCCO P,RIBERO D,et al.Extended lymphadenectomy and vein resection for pancreatic head cancer:outcomes and implications for therapy[J].Arch Surg,2003,138(12):1316-1322.
[23] PEDRAZZOLI S,DICARLO V,DIONIGI R,et al.Standard versus extended lymphadenectomy associated with pancreatoduodenectomy in the surgical treatment of adenocarcinoma of the head of the pancreas:a multicenter,prospective,randomized study.Lymphadenectomy Study Group[J].Ann Surg,1998,228(4):508-517.
[24] YEO C J,CAMERON J L,LILLEMOE K D,et al.Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma,part 2:randomized controlled trial evaluating survival,morbidity,and mortality[J].Ann Surg,2002,236(3):355-366,366-368.
[25] FARNELL M B,PEARSON R K,SARR M G,et al.A prospective randomized trial comparing standard pancreatoduodenectomy with pancreatoduodenectomy with extended lymphadenectomy in resectable pancreatic head adenocarcinoma[J].Surgery,2005,138(4):618-628,628-630.
[26] JANG J Y,KANG M J,HEO J S,et al.A prospective randomized controlled study comparing outcomes of standard resection and extended resection,including dissection of the nerve plexus and various lymph nodes,in patients with pancreatic head cancer[J].Ann Surg,2014,259(4):656-664.
[27] IACONO C,ACCORDINI S,BORTOLASI L,et al.Results of pancreaticoduodenectomy for pancreatic cancer:extended versus standard procedure[J].World J Surg,2002,26(11):1309-1314.
[28] MICHALSKI C W,KLEEFF J,WENTE M N,et al.Systematic review and meta-analysis of standard and extended lymphadenectomy in pancreaticoduodenectomy for pancreatic cancer[J].Br J Surg,2007,94(3):265-273.

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