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本文阐述了胰腺癌的致病因素、早期症状、近代诊断方法。目前仍以Child和Whipple法为主要治疗术式。曾有入主张作内瘘术;日本把胰腺周围淋巴结分为18组和1、2、3站,在廓清1、2站淋巴结的基础上(根治2)再适当廓清第3站淋巴结(根治3)。但近来主张全胰切除者渐多,Fortner主张全胰加局部血管切除吻合术,宫崎主张经后腹膜途径行金胰加后腹膜软组织淋巴廓清术,尚有争论。
This article describes the pathogenic factors, early symptoms, and modern diagnostic methods for pancreatic cancer. The Child and Whipple method is still the main treatment. There have been advocates for internal fistula surgery; Japan divides the lymph nodes around the pancreas into 18 groups and 1, 2 and 3 stations, and then appropriately clarifies the 3rd station lymph nodes on the basis of clarifying the 1st and 2nd station lymph nodes (curing 2) (Radical 3 ). However, there have been more and more advocates of pancreatic resection. Fortner advocates total pancreatic resection and anastomosis, and Miyazaki advocates the retroperitoneal approach to peritoneal soft tissue lymphadenectomy. There is still controversy.