Progress and assessment of total mesopancreas excision of pancreas
10.3760/cma.j.issn.1673-9752.2016.06.003
- VernacularTitle:胰腺全系膜切除的进展与评价
- Author:
Yinmo YANG
;
Jingyong XU
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Total mesopancreas excision
- From:
Chinese Journal of Digestive Surgery
2016;15(6):537-539
- CountryChina
- Language:Chinese
-
Abstract:
As no fiber sheath covered,mesopancreas is considered to be different from mesocolon and mesorectum.Though amount of lymphatic,nervous,vascular and fat tissues are consisted in this structure,the margin and range are still controversial in the clinical practice.Only a few clinical reports show a higher R0 resection rate with the procedure of total mesopancreas excision (TMpE),but most of the studies are singlecentered and retrospective,from which we could not assess the outcome improvement for the patients undergoing TMpE.Moreover,the difference between the ranges of TMpE and ever-used extended excision or lymphectomy should be further evaluated.More anatomical and clinical studies are needed to standardize the operation range in order to benefit the patients.