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金钢(第二军医大学附属长海医院胰腺外科)近年来,尽管胰腺癌治疗的外科理念、手术技巧和综合治疗等方面均取得了明显的进步,手术切除率和安全性也得到提高,但病人术后长期存活率并未显著改善。其中,局部复发和远处转移依然是影响胰腺癌预后的重要因素。因此,如何做到R0切除和规范化淋巴结清扫是提高胰腺癌切除术后远期存活率的关键。1合理的肿瘤切除范围淋巴结转移是胰腺癌主要的转移方式,也是影响预后
In recent years, although the surgical concept of pancreatic cancer treatment, surgical techniques and comprehensive treatment have made significant progress, the surgical resection rate and safety has also been improved, but the patient Postoperative long-term survival did not significantly improve. Among them, the local recurrence and distant metastasis is still an important factor affecting the prognosis of pancreatic cancer. Therefore, how to achieve R0 resection and normalization of lymph node dissection is to improve the long-term survival rate after pancreatic cancer resection. A reasonable range of tumor resection Lymph node metastasis is the main method of pancreatic cancer metastasis, but also affect the prognosis