Abstract
根据新版的TNM分期,对Ⅰ、Ⅱ期胰头癌行根治性胰十二指肠切除(pancreaticoduodenectomy,PD)是提高其治疗效果的最可靠方法,即要完全切除肿瘤、胰腺头部(包括胰腺钩突)、颈部、相关脏器(肝门以下胆管、十二指肠及部分空肠、部分胃)及区域内结缔组织和淋巴结(肠系膜上动脉右侧的淋巴结、神经、结缔组织等,包括腹膜后组织在内),避免任何肉眼可见的肿瘤组织残留。
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