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首页> 外文期刊>International Journal of Surgical Oncology >Treatment of Pancreatic and Periampullary Cancers at a Community Hospital: Successful Application of Tertiary Care Treatment Standards
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Treatment of Pancreatic and Periampullary Cancers at a Community Hospital: Successful Application of Tertiary Care Treatment Standards

机译：在社区医院治疗胰腺癌和壶腹癌：三级治疗标准的成功应用

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摘要

Background. The treatment of pancreatic cancer and other periampullary neoplasms is complex and challenging. Major high-volume cancer centers can provide excellent multidisciplinary care of these patients but almost two-thirds of pancreatic cancer patients are treated at low volume centers. There is very little published data from low volume community cancer programs in regards to the treatment of periampullary cancer. In this study, a review of comprehensive periampullary cancer care at two low volume hospitals with comparison to national standards is presented.Methods. This is a retrospective review of 70 consecutive patients with periampullary neoplasms who underwent surgery over a 5-year period (2006–2010) at two community hospitals.Results. There were 51 successful resections of 70 explorations (73%) including 34 Whipple procedures. Mortality rate was 2.9%. Comparison of these patients to national standards was made in terms of operative mortality, resectability rate, administration of adjuvant therapy, clinical trial participation and overall survival. The results in these patients were comparable to national standards.Conclusions. With adequate commitment of resources and experienced surgical and oncologic practitioners, community cancer centers can meet national tertiary care standards in terms of pancreatic and periampullary cancer care.
机译：背景。胰腺癌和其他壶腹周围肿瘤的治疗是复杂且具有挑战性的。大型的大型癌症中心可以为这些患者提供出色的多学科护理，但是将近三分之二的胰腺癌患者在较小的中心接受治疗。关于壶腹周围癌的治疗，来自小规模社区癌症计划的公开数据很少。在这项研究中，对与国家标准相比较的两家小容量医院的壶腹周围癌综合治疗进行了综述。这是一项回顾性研究，回顾了在两家社区医院连续5年（2006-2010年）接受手术的70例壶腹周围肿瘤患者。结果。成功进行了70次勘探的51次成功切除（73％），包括34次Whipple手术。死亡率为2.9％。将这些患者与国家标准进行了手术死亡率，可切除率，辅助治疗，临床试验参与和总体生存率的比较。这些患者的结果与国家标准相当。只要有足够的资源和经验丰富的外科及肿瘤学从业人员，社区癌症中心就胰腺癌和壶腹癌的护理就可以达到国家三级护理标准。

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