Lymph node dissection in radical resection for carcinoma of the head of the pancreas and periampullary region.
Lymph node dissection in radical resection for carcinoma of the head of the pancreas and periampullary region.
复制标题
胰头及壶腹周围癌根治术中的淋巴结清扫术。
DOI：
10.1093/oxfordjournals.jjco.a038882
复制
发表时间：
1983
影响因子：
2.4
通讯作者：
K. Kishi
中科院分区：
文献类型：
--
作者：
H. Ozaki;K. Kishi
本文报告41例胰头癌和壶腹周围癌的手术切除标本及16例复发者的尸检标本。我们讨论了在胰管切除术或全胰切除术中需要清除特定淋巴结的证据。这些包括肝和腹腔总动脉组、上级肠系膜组、位于空肠近端肠系膜的空肠组和位于钩突后面的胰后组。甚至在认为癌很小的病例中也发现了向这些组的转移。胰头癌的胰周淋巴结转移范围较广。因此，全胰切除术和淋巴结清扫是可取的这种疾病。
Resected specimens from 41 cases of carcinoma of the head of the pancreas or the periampullary region and autopsy specimens from 16 patients with recurrence were examined for lymph node metastasis. Evidence demonstrating the need for dissection and removal of specific lymph node groups in pancreatoduodenectomy or total pancreatectomy was discussed. These include the common hepatic and celiac groups, the superior mesenteric group, the jejunal group located in the mesentery of the proximal portion of the jejunum, and the retropancreatic group located behind the uncinate process. Metastasis to these groups was found even in cases where the carcinoma was considered small. In carcinoma of the head of the pancreas, metastasis to the peripancreatic lymph nodes was seen more widely. Therefore, total pancreatectomy with lymph node dissection is desirable for this disease.