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首页> 外文期刊>Current opinion in gastroenterology >Pancreatic surgery.
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Pancreatic surgery.

机译：胰腺手术。

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PURPOSE OF REVIEW: Pancreatic surgery is a very challenging field and the management of pancreatic diseases continues to evolve. This report reviews the most recent information relating to pancreatic surgery. RECENT FINDINGS: Startlingly, it appears that a third of patients with resectable pancreatic cancer do not receive an operation in the United States, but for those who do receive surgery new emphasis on adequate lymph node staging has been reported. Assessment of guidelines for the treatment of intraductal papillary mucinous neoplasm and cystic lesions of the pancreas appear to validate the current practice. Extended pancreatic resections with vascular resection appear safe and with reasonable survival outcomes. The use of laparoscopic techniques for the pancreas continues to advance. Finally, patients with chronic pancreatitis appear better served by operative techniques rather than endoscopic approaches. SUMMARY: Pancreatic surgery is a fascinating field as we learn more about the biology of theconditions that afflict this gland and the best practices to address these diseases.
机译：审查的目的：胰腺手术是一个非常具有挑战性的领域，胰腺疾病的管理在不断发展。本报告回顾了有关胰腺手术的最新信息。最近的发现：令人惊讶的是，在美国，可切除的胰腺癌患者中约有三分之一没有接受手术，但是对于那些接受手术的患者，据报道新的重点是充分的淋巴结分期。对导管内乳头状粘液性肿瘤和胰腺囊性病变的治疗指南的评估似乎证实了当前的实践。扩大的胰腺切除术与血管切除术似乎是安全的，并具有合理的生存结果。腹腔镜技术在胰腺的使用继续发展。最后，慢性胰腺炎患者似乎可以通过手术技术而非内窥镜检查更好地服务。总结：胰腺外科是一个令人着迷的领域，因为我们更多地了解了困扰该腺体的疾病的生物学特性以及应对这些疾病的最佳实践。

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