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Reconsideration of the Appropriate Dissection Range Based on Japanese Anatomical Classification for Resectable Pancreatic Head Cancer in the Era of Multimodal Treatment

机译:基于日本解剖学分类对多式联合治疗时代可重置胰头癌的日本解剖学分类的适当解剖范围的重新考虑

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摘要

Although the survival benefit of “regional lymph node dissection” for pancreatic head cancer remains unclear, the R0 resection rate is reportedly associated with prognosis. We reviewed the literature that could be helpful in determining the appropriate resection range. The recent development of high-quality computed tomography has made it possible to evaluate the extent of cancer infiltration. Even if the “dissection to achieve R0 resection” range is simulated based on the computed tomography evaluation, it is difficult to identify the range intraoperatively. It is necessary to be aware of the anatomical landmarks to determine the appropriate dissection range intraoperatively.
机译:虽然“区域淋巴结解剖”对胰头癌的生存效果仍不清楚,但据报道,R0切除率与预后有关。我们审查了可能有助于确定适当的切除术范围的文献。最近的高质量计算断层扫描的发展使得可以评估癌症渗透的程度。即使基于计算的断层摄影评估模拟“实现R0切除的分析”范围,难以识别术中的范围。有必要了解解剖标记以术中确定适当的解剖范围。

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