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total mesopancreas excision is the better staging tool of the mesopancreas in pancreatic head carcinoma

World Journal of Gastrointestinal Surgery 2022年第7期14卷 720-722页

作者： Nadia Peparini Azienda Sanitaria Locale Roma 6 Distretto 3Rome 00043Italy

Preoperative imaging staging based on tumor,node,metastasis classification cannot be effective to avoid R1 resection because only further improvements in imaging technologies will allow the precise assessment of perineural and lymphatic invasion and the occurrence of microscopic tumour deposits in the ***,waiting for further improvements in imaging technologies,total mesopancreas excision remains the only tool able to precisely assess mesopancreatic resection margin status,maximize the guarantee of radicality in cases of negative(R0)mesopancreatic resection margins,and stage the mesopancreas.

关键词： Pancreatic head carcinoma mesopancreas total mesopancreas excision Staging Preoperative imaging Surgery

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Application and progress of medical imaging in total mesopancreas excision for pancreatic head carcinoma

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World Journal of Gastrointestinal Surgery 2021年第11期13卷 1315-1326页

作者： Pei Feng Bo Cheng Zhen-Dong Wang Jun-Gui Liu Wei Fan Heng Liu Chao-Ying Qi Jing-Jing Pan Department of Radiology PLA Rocket Force Characteristic Medical CenterBeijing 100088China Department of Pathology PLA Rocket Force Characteristic Medical CenterBeijing 100088China Department of Ultrasound Beijing Sihui Hospital of Traditional Chinese MedicineBeijing 100022China Department of Hepatobiliary Surgery PLA Rocket Force Characteristic Medical CenterBeijing 100088China

Pancreatic head carcinoma(PHC)is one of the common gastrointestinal malignancies with a high morbidity and poor *** present,radical surgery is still the curative treatment for ***,in clinical practice,the actual R0 resection rate,the local recurrence rate,and the prognosis of PHC are ***,the concept of total mesopancreas excision(TMpE)is proposed to achieve R0 *** there have various controversies and discussions on the definition,the range of excision,and clinical prognosis of TMpE,the concept of TMpE can effectively increase the R0 resection rate,reduce the local recurrence rate,and improve the prognosis of *** is of importance in preoperative examination for PHC;however,traditional imaging assessment of PHC does not focus on *** review discusses the application of medical imaging in TMpE for PHC,to provide more accurate preoperative evaluation,range of excision,and more valuable postoperative follow-up evaluation for TMpE through *** is believed that with further extensive research and exploratory application of TMpE for PHC,large-sample and multicenter studies will be realized,thus providing reliable evidence for imaging evaluation.

关键词： Pancreatic head carcinoma mesopancreas total mesopancreas excision Imaging Computed tomography Magnetic resonance imaging

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