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1 胰腺癌根治性切除的观念与范围目前对胰腺癌的生物学行为的认识和外科手术方式的选择仍存在差异。胰腺癌存在着广泛的淋巴结转移、“间隙浸润”和不同程度的血行转移与腹膜播散途径。“间隙浸润”指癌细胞浸润淋巴管和神经组织,而淋巴管和神经浸润常先于淋巴结转移。降低手?
1 concept and scope of radical resection of pancreatic cancer The current understanding of the biological behavior of pancreatic cancer and the choice of surgical methods are still different. Pancreatic cancer has extensive lymph node metastasis, “interstitial infiltration” and varying degrees of hematogenous metastasis and peritoneal dissemination. “Gap infiltration” refers to cancer cells infiltrating lymphatic vessels and nerve tissue, while lymphatic and nerve infiltration often precedes lymph node metastases. Lower hand?