摘要
胰十二指肠切除（PD）标本的胰腺、胆道、胃肠切缘的界定和检查已成为常规。然而，对于PD标本重要切缘——腹膜后切缘却关注较少，其定义也无统一标准。这可能是PD治疗壶腹部周围恶性肿瘤疗效评价不一致的原因之一。本文就腹膜后切缘的定义、界定标准和重要意义，以及与R0、R1切除率和生存率之间的关系进行了分析。本文阐明了我们对PD标本腹膜后切缘的界定标准，介绍了一种提高腹膜后重要切缘——胰腺钩突部切缘阴性率的新方法。
There is a common consensus amongst pathologists as to how to determine and examine the pancreatic, biliary tract and gastrointestinal surgical margins for specimens after pancreaticoduodenectomy （PD）. However, for the retroperitoneal surgical margin which is one of the most important surgical margins in PD has not been well studied, and its determination remains unclear. In the present study, the definition, evaluation criteria and clinical significance of retroperitoneal surgical margin in PD were analysed. The relationship between R0, R1 resection rates and survival rates were compared. We presented a new technique to obtain a negative surgical margin in the uncinate process of the pancreas.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2011年第11期883-885,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
胰十二指肠切除
腹膜后切缘
Pancreaticoduodenectomy
Retroperitoneal surgical margin
