Long-term survivors after operation on carcinoma of the pancreas
Long-term survivors after operation on carcinoma of the pancreas
复制标题
胰腺癌手术后的长期幸存者
DOI：
10.1007/bf02788207
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
K. Ura
中科院分区：
文献类型：
--
作者：
R. Tsuchiya;N. Harada;T. Tsunoda;T. Miyamoto;K. Ura
从1966年到1980年，我们从日本的主要机构收集并分析了35例胰脏癌切除手术后5年以上长期存活患者的报告。男女比例为0.94∶1，平均年龄56岁。35例中34例肿瘤位于胰腺头部，32例行胰十二指肠切除术，2例行全胰切除术。1例尾癌患者行远端胰腺切除术。肿瘤大小与术后预后无相关性。淋巴结转移似乎不是术后长期生存的障碍，淋巴结转移对胰腺被膜的侵袭与预后无关。然而，35例患者腹膜后组织和门静脉系统均未出现明确或严重的侵犯。认为对腹膜后组织和门静脉系统的侵犯可能是影响术后预后的最重要因素。
Reports of 35 long-term more than five years survivors after resectional surgery which was performed for carcinoma of the pancreas from 1966 to 1980 were collected from major institutions in Japan and analyzed. Male to female ratio was 0.94∶1 and average age was 56 years old. In 34 of the 35, the tumor was located at the head of the pancreas, 32 received pancreatoduodenectomy and two underwent total pancreatectomy. One patient with carcinoma of the tail received distal pancreatectomy. There was no correlation between the size of tumor and the postoperative prognosis. It seems that lymph node metastasis is not an obstacle to long postoperative survivals when they are removed, and also invasion to the pancreatic capsule shows no relationship to prognosis. However, there were no definite or severe invasions to the retroperitoneal tissue, nor to the portal venous system in the 35 patients at all. It is considered that invasion to the retroperitoneal tissues and to the portal venous system may be the most influential factor to the postoperative prognosis.