胰腺癌的外科治疗

 手术切除是目前胰腺癌治疗最有效的方法。胰腺癌外科治疗最明确的进展是大幅度降低了围手术期死亡率。虽然近年对胰腺癌手术的手术范围、淋巴结清扫数目、肿瘤切缘进行了随机临床试验，但是各种手术方式切除肿瘤后患者的长期生存差异尚无统计学意义，术后中位生存期一般不超过20个月。考虑到目前部分胰腺癌患者放弃手术治疗的实际情况，建议目前胰腺癌外科治疗应该解决好手术风险的问题，让患者充满信心地返回手术室。

Surgical treatment of pancreatic cancer

Tumor removal is the only curative method of pancreatic cancer.Although much progress has been made in pancreatic surgery,the most important one is the decline of the perioperative mortality.There were many randomized clinical trials including studies of the extension of the standard operation.1ymphadenectomy and resection margin.However,the long-term survival has not increased,and the median survival no longer than 20 months.According to the situation that many patients should not select resection,we think that it is important to control the surgical complications and to encourage the patients to receive surgery.