지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.9
- 수록면
- 89 - 92 (4page)
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초록· 키워드
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The role of multimodality therapy and surgery for the treatment of locally advanced pancreatic cancer remains to be determined. Although no randomized trials have been done to determine the optimal management of this difficult clinical problem, numerous series reporting successful surgical resection with negative (R0) or microscopic margin (R1) showing favorable long-term survival provide a basis for an aggressive approach in selected cases of advanced cancer of the pancreas. In the absence of conclusive clinical trials, neoadjuvant treatment followed by surgical resection seems to be the optimal approach for locally advanced pancreatic cancers when the potential for surgical resection is suggested by preoperative high quality CT imaging. In particular, when the tumor is within the criteria for borderline resectable pancreatic cancer, efforts to achieve R0 resection are warranted. For those selected cases invading the hepatic artery and superior mesenteric artery, combined arterial resection and reconstruction may be performed to achieve R0 resection. Nonetheless, such a complex procedure should be balanced by a high rate of postoperative complications. In contrast, in cases of tumors invading the celiac axis, R0 resection by combined celiac axis resection can be performed without a high rate of postoperative complications. Survival benefit needs to be verified by further studies in the future.
목차
INTRODUCTION
STAGING OF THE LOCALLY ADVANCED PANCREAS CANCER
NCCN CRITERIA TO DEFINEBORDERLINE RESECTABLE PANCREAS CANCER
NCCN CRITERIA TO DEFINE THEUNRESECTABLE TUMOR
CT FINDINGS SUGGESTING A TUMOR IS AMENABLE TO VASCULAR RECONSTRUCTION
EXPERT PANEL CONSENSUSSTATEMENT REGARDING THE MARGIN STATUS AFTER PANCREATICODUODENECTOMY AND ROLE OF “PALLIATIVEPANCREATICODUODENECTOMY”
THE ROLE OF ARTERIAL RESECTION FOR THE TUMORS INVADING COMMON HEPATIC ARTERY AND SUPERIOR MESENTERIC ARTERY
ROLE OF ARTERIAL RESECTION FOR THE TUMORS INVADING CELIAC AXIS
SURVIVAL OF PANCREAS CANCER PATIENT AT KYUNGPOOK NATIONALUNIVERSITY HOSPITAL AND FOUR CASES OF PANCREAS CANCER INVADING CELIAC AXIS TREATED BY DISTAL PANCREATECTOMY AND CELIAC AXIS RESECTION
REFERENCES
참고문헌 (16)
참고문헌 신청
1. [인터넷자원] - / / Cancer Institute: Surveillance, Epidemiology, and End Results (SEER)
2. [학술지(정기간행물)] - Fortner JG / 1977 / Regional pancreatectomy: en bloc pancreatic, portal vein and lymph node resection / Ann Surg 186 : 42 ~ 50
3. [학술지(정기간행물)] - Bold RJ / 1999 / Major vascular resection as part of pancreaticoduodenectomy for cancer: radiologic, intraoperative, and pathologic analysis / J Gastrointest Surg 3 : 233 ~ 243
4. [학술지(정기간행물)] - Sasson AR / 2002 / En bloc resection for locally advanced cancer of the pancreas: is it worthwhile? / J Gastrointest Surg 6 : 147 ~ 157
5. [학술지(정기간행물)] - Tseng JF / 2004 / Pancreaticoduodenectomy with vascular resection: margin status and survival duration / J Gastrointest Surg 8 : 935 ~ 949
2. [학술지(정기간행물)] - Fortner JG / 1977 / Regional pancreatectomy: en bloc pancreatic, portal vein and lymph node resection / Ann Surg 186 : 42 ~ 50
3. [학술지(정기간행물)] - Bold RJ / 1999 / Major vascular resection as part of pancreaticoduodenectomy for cancer: radiologic, intraoperative, and pathologic analysis / J Gastrointest Surg 3 : 233 ~ 243
4. [학술지(정기간행물)] - Sasson AR / 2002 / En bloc resection for locally advanced cancer of the pancreas: is it worthwhile? / J Gastrointest Surg 6 : 147 ~ 157
5. [학술지(정기간행물)] - Tseng JF / 2004 / Pancreaticoduodenectomy with vascular resection: margin status and survival duration / J Gastrointest Surg 8 : 935 ~ 949
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UCI(KEPA) : I410-ECN-0101-2014-514-001348663