摘要
为提高胰体尾癌的R0切除率,根治性顺行模块化胰脾切除术（RAMPS）在临床应用逐渐增多.与传统手术相比,RAMPS强调更深层面的解剖,整块切除肾筋膜（又称Gerota筋膜）、肾前脂肪囊甚至左侧肾上腺,并彻底清扫区域淋巴结（包括第7、8、9、10、11p、11d组,部分第14p/d组、部分第16a2及18组）.RAMPS有助于提高R0切除率,但其本身亦存在许多尚未解决的问题,对患者生存期的影响也有待于进一步观察.
Radical antegrade modular pancreatosplenectomy （RAMPS） has been applied more and more in clinical practice to improve the R0 resection rate in pancreatic body/tail adenocarcinoma.Comparing with traditional procedure,the resection plane in RAMPS is deeper with en-bloc resection of renal fascia,anterior renal fat capsule and even left adrenal gland and regional lymph nodes including No.7,8,9,10,11 p,11 d,partial 14p/d,partial 16a2 and 18.Despite that RAMPS is in favor of improving R0 resection rate,there are many problems about this procedure unsolved and effect on patient survival is still awaited.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2016年第11期833-838,共6页
Chinese Journal of Surgery
关键词
胰腺肿瘤
外科手术
根治性顺行模块化胰脾切除术
Pancreatic neoplasms
Surgical procedures,operative
Radical antegrade modular pancreatosplenectomy
