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化疗是目前晚期胰腺癌内科治疗的重要手段,吉西他滨为标准用药,以其为基础的综合治疗方案在不断探索中,并取得一定进展.放疗同期化疗的应用存在一定争议,尚待进一步的研究证实.新辅助治疗的出现.使部分进展期胰腺癌患者获得了肿瘤切除的可能,对延长生存期意义重大.靶向治疗的出现为转移性胰腺癌患者带来了希望,提高了生存获益. 相似文献
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Kubota K 《World journal of clinical oncology》2011,2(5):225-228
Recent advances in surgical treatment for pancreatic cancer have been remarkable. Pancreatoduodenectomy is a standard surgical procedure for cancer of the pancreatic head, and is now indicated even for elderly patients over 80 years of age. Pancreatoduodenectomy with combined resection of the peripancreatic vessels has improved survival, but extended resection including lymph nodes is considered to have no extra survival benefit. Furthermore, laparoscopic resection procedures including pancreatoduodenectomy, distal pancreatectomy, enucleation and central pancreatectomy can now be performed safely. Neoadjuvant or adjuvant chemotherapy using gemcitabine may further improve the surgical outcome. An understanding of the oncological aspects of pancreatic cancer and the development of surgical techniques and chemotherapy may further contribute to improving the outcome of surgery for pancreatic cancer. 相似文献