What is the common operation method of pancreatic cancer

summary

Monday morning was the regular meeting of our department. The director told us that a new patient with pancreatic cancer was transferred to the hospital. Let's see who can still be the attending physician of the patient now. Let's talk about the common surgical methods for pancreatic cancer.

What is the common operation method of pancreatic cancer

First: duodenectomy, pylorus preserving pancreatoduodenectomy, pylorus preserving pancreatoduodenectomy, the main conditions for the treatment of pancreatic cancer are that the lesion has not yet invaded the pylorus and duodenal bulb, no pylorus lymph node metastasis, and pylorus preserving pancreatoduodenectomy can also be performed for low-grade pancreatic head tumors (cystadenocarcinoma, islet cell carcinoma, acinar cell carcinoma, etc.) Two finger intestinal resection.

In the past, it was considered that the invasion of portal vein and superior mesenteric vein system was a contraindication of surgical resection, so the surgical resection rate was relatively low. In the past 20 years, with the enhancement of preoperative and postoperative management and the improvement of surgical techniques, tumor invasion of the portal vein system is no longer a contraindication of surgical resection. This method of treatment for pancreatic cancer has significantly improved the surgical resection rate of pancreatic cancer or periampullary cancer.

Third: pancreatectomy, pancreatectomy is a common method for the treatment of pancreatic cancer, which is suitable for pancreatic cancer without distant metastasis. Total pancreatectomy and pancreatic ductal adenocarcinoma are the main indications of total pancreatectomy. The indication for total pancreatectomy is also for malignant transformation of giant tumors in the head and body of pancreas, or partial resection of carcinoma of the head of pancreas with cancer cells found at the stump.

matters needing attention

There are generally four common surgical methods for pancreatic cancer, but which one should be chosen requires good communication between doctors and patients, and the most suitable treatment scheme should be made according to the development of patients' condition, so as to make patients recover as soon as possible.