Surgical Strategies for Tumors of the Pancreas and Duodenum.

IF 4.4 2区 医学 Q1 ONCOLOGY
Cancers Pub Date : 2025-09-22 DOI:10.3390/cancers17183091
Rosyli F Reveron-Thornton, Kelly X Huang, Daniel Delitto, Michael T Longaker, Jeffrey A Norton
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引用次数: 0

Abstract

The recommended surgery for pancreatic tumors is dependent on the diagnosis. For pancreatic adenocarcinoma, duodenal, and ampullary adenocarcinoma, a Whipple pancreaticoduodenectomy with lymph node dissection is recommended. For small < 2 cm or non-imageable gastrinomas, duodenal transillumination, duodenotomy, duodenal tumor excision and adjacent lymphadenectomy is recommended. For large > 3 cm gastrinomas, a Whipple pancreaticoduodenectomy with adjacent lymph node dissection is recommended. For small 1-2 cm insulinomas, intraoperative ultrasound with enucleation is recommended. If the patient with gastrinoma, insulinoma, or multiple nonfunctional NETs occurs in the setting of MEN-1, a subtotal pancreatectomy with or without splenectomy with enucleation of pancreatic head tumors is recommended, with adjacent lymph node dissection. The detail of each procedure is described with illustrations.

胰、十二指肠肿瘤的外科治疗策略。
胰腺肿瘤的推荐手术取决于诊断。对于胰腺癌、十二指肠癌和壶腹腺癌,建议行胰十二指肠切除术并淋巴结清扫术。对于小于2厘米或不可成像的胃瘤,建议行十二指肠透视、十二指肠切除术、十二指肠肿瘤切除术和邻近淋巴结切除术。对于大的bbbb3厘米的胃鞘瘤,建议行胰十二指肠切除术和邻近淋巴结清扫术。对于小的1-2厘米的胰岛素瘤,建议术中超声并去核。如果患者伴有胃原质瘤、胰岛素瘤或多发性无功能NETs,则建议行胰次全切除术,伴或不伴脾切除术,胰头肿瘤去核,并伴邻近淋巴结清扫。每个程序的细节都用插图描述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cancers
Cancers Medicine-Oncology
CiteScore
8.00
自引率
9.60%
发文量
5371
审稿时长
18.07 days
期刊介绍: Cancers (ISSN 2072-6694) is an international, peer-reviewed open access journal on oncology. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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