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联合腹腔动脉干切除可显著提高胰体尾癌的切除率,但是否可提高根治性及改善病人预后,特别是在该术式所导致的潜在缺血并发症等方面,仍存在较大争议。多数回顾性研究提示,对腹腔动脉干及其分支受累的胰体尾癌病人行联合腹腔动脉干切除的胰体尾癌根治术具有可行性并可使病人生存获益。该术式为非常规手术,开展时应严格掌握手术指征,在可获得R0切除的前提下,审慎评估其临床效果及潜在的缺血并发症。
Combination of celiac artery resection can significantly improve the resection rate of pancreatic body and tail cancer, but whether it can improve the radical and improve the prognosis of patients, especially in the surgical procedures for potential ischemic complications, there is still much controversy. Most retrospective studies suggest that radical resection of pancreatic carcinoma of the pancreas with celiac trunk resection for celiac trunk and its branches of pancreatic body and tail cancer patients is feasible and beneficial to patients’ survival. The procedure for unconventional surgery should be carried out strictly surgical indications, the R0 resection available under the premise of careful assessment of its clinical efficacy and potential ischemic complications.