The effect of Heidelberg triangle dissection on the prognosis of patients after pancreatic head cancer resection
10.3760/cma.j.cn113855-20230227-00099
- VernacularTitle:海德堡三角清扫对胰头癌切除手术疗效的影响
- Author:
Zhenyong WANG
1
;
Ziqi LIU
;
Yu MENG
;
Jinchao LI
;
Lei ZHANG
;
Wenhao LYU
;
Jinlai LIU
;
Ruhai LIU
Author Information
1. 沧州市中心医院肝胆胰外一科，沧州 061000
- Keywords:
Pancreatic neoplasms;
Neoplasm recurrence ,local;
Heidelberg triangle
- From:
Chinese Journal of General Surgery
2024;39(1):45-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the short-term and long-term efficacy of Heidelberg triangle dissection in surgical treatment for pancreatic head cancer.Methods:The clinicopathological data of 97 patients with pancreatic head cancer who underwent pancreaticoduodenectomy at Cangzhou Central Hospital from Jan 2017 to Jan 2020 were retrospectively analyzed. After propensity score matching, 33 patients were included into the Heidelberg group and 36 patients in the control group.Results:There were no significant difference between Heidelberg group and control group in preoperative general conditions and postoperative major complications, while there were more cases with safe surgical margin > 1 mm (81.8% vs. 58.3%, P=0.034) and a significantly higher total number of lymph node dissection (11.24±2.35 vs. 9.50±2.76, P=0.006). In the survival analysis, the cumulative recurrence rate at 12 months (0.182±0.067 vs. 0.444±0.083, P=0.023) and 18 months (0.424±0.086 vs. 0.667±0.079, P=0.024) were better off in the Heidelberg group, and the local recurrence rate in the Heidelberg group was significantly lower than that in the control group (15.3 % vs. 36.1 %, P=0.037). However, there was no statistical difference in the overall survival time between the two groups. Conclusion:Dissection of Heidelberg triangle in radical resection of pancreatic head cancer reduces tumor local recurrence ,while fails to provide survival benefit.
