IR@PKUHSC  > 北京大学临床肿瘤学院  > 肝胆胰外科
学科主题临床医学
Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)
Liu, Chen1; Chen, Rufu2; Chen, Yingtai3; Fu, Deliang4; Hong, Defei5; Hao, Jihui6; Liu, Dawei7; Li, Jiangtao8; Li, Shengping9; Li, Yixiong10; Mai, Gang11; Mou, Yiping12; Ni, Quanxing1; Peng, Li13; Qian, Honggang14; Qin, Renyi15; Sun, Bei16; Sha, Chenghao17; Sun, Yongwei18; Tian, Bole19; Wang, Jian18; Wang, Wei20; Wang, Weilin21; Zhao, Gang22; Yu, Xianjun1; Chinese Study Grp Pancreatic Canc
关键词Pancreatic Cancer Para-aortic Lymph Nodes Metastasis Extended Lymphadenectomy Pancreatoduodenectomy
刊名INTERNATIONAL JOURNAL OF ONCOLOGY
2015-10-01
DOI10.3892/ijo.2015.3128
47期:4页:1512-1516
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Oncology
研究领域[WOS]Oncology
关键词[WOS]INTERNATIONAL STUDY-GROUP ; DUCTAL ADENOCARCINOMA ; EXTENDED LYMPHADENECTOMY ; PLEXUS INVASION ; RADICAL SURGERY ; NERVE PLEXUS ; METASTASIS ; CARCINOMA ; MESOPANCREAS ; RESECTION
英文摘要

Understanding and formulating an appropriate strategy for the para-aortic lymph nodes (LN16) during curative surgery for pancreatic head cancer have been controversial for some time. This study intended to provide a recommendation for surgeons to perform an optimal curative surgery on pancreatic cancer patients with or without LN16 involvement. Based on an updated literature search and review, the members of the Chinese Study Group for Pancreatic Cancer (CSPAC) from high-volume centers reached a consensus on the issue of LN16 in pancreatic head cancer. Metastasis to LN16 is quite common in pancreatic head cancer cases. Depending on the location of the tumor, including the ventral and dorsal pancreas, there could be various lymph node drainage pathways whereby LN16 does not necessarily belong to the Group 3 lymph node stations for all cases of pancreatic head cancer. Although LN16 involvement generally indicates a poor prognosis, some cohorts of LN16-involved cases have benefited from a curative surgery, and there is still a lack of level I evidence to convince surgeons to abandon all resectable cases with LN16 positivity. Resection of LN16 combined with a standard lymphadenectomy during pancreatoduodenectomy is recommended by CSPAC, except in patients with both positive LN16 and criteria based on: i) the resectability status of primary tumor; ii) the extent of involved para-aortic lymph nodes; and iii) the serum tumor burden assessed preoperatively.

语种英语
WOS记录号WOS:000362058300035
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56184
专题北京大学临床肿瘤学院_肝胆胰外科
北京大学临床肿瘤学院_肝胆胰外二科
作者单位1.Fudan Univ, Dept Pancreat & Hepatobiliary Surg, Shanghai Canc Ctr, Pancreat Canc Inst,Dept Oncol,Shanghai Med Coll, Shanghai 200032, Peoples R China
2.Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Pancreaticobiliary Surg, Guangzhou 510275, Guangdong, Peoples R China
3.Chinese Acad Med Sci, Peking Union Med Coll, Canc Hosp, Dept Abdominal Surg, Beijing 100730, Peoples R China
4.Fudan Univ, Shanghai Med Coll, Huashan Hosp, Dept Pancreat Surg,Pancreat Dis Inst, Shanghai 200032, Peoples R China
5.Zhejiang Prov Peoples Hosp, Dept Hepatobiliary & Pancreat Surg, Hangzhou, Zhejiang, Peoples R China
6.Tianjin Med Univ, Canc Inst & Hosp, Dept Pancreat Canc, Tianjin, Peoples R China
7.Heilongjiang Prov Hosp, Dept Gen Surg, Harbin, Heilongjiang, Peoples R China
8.Zhejiang Univ, Sch Med, Dept Surg, Affiliated Hosp 2, Hangzhou 310003, Zhejiang, Peoples R China
9.Sun Yat Sen Univ, Ctr Canc, Dept Hepatobiliary Oncol, Guangzhou 510275, Guangdong, Peoples R China
10.Cent S Univ, Xiangya Hosp, Dept Pancreaticbililary Surg, Changsha, Hunan, Peoples R China
11.Peoples Hosp Deyang, Dept Hepatobiliopancreat Surg, Deyang, Peoples R China
12.Zhejiang Prov Peoples Hosp, Dept Gastroenterol & Pancreat Surg, Hangzhou, Zhejiang, Peoples R China
13.Hebei Med Univ, Hosp 4, Dept Hepatopancreatobiliary Surg, Shijiazhuang, Peoples R China
14.Peking Univ, Canc Hosp & Inst, Dept Hepatopancreatobiliary Surg, Beijing 100871, Peoples R China
15.Huazhong Univ Sci & Technol, Tongji Med Coll, Affiliated Tongji Hosp, Dept Biliary Pancreat Surg, Wuhan 430074, Peoples R China
16.Harbin Med Univ, Affiliated Hosp 1, Dept Pancreat & Biliary Surg, Harbin, Heilongjiang, Peoples R China
17.Second Mil Med Univ, Shanghai Changzheng Hosp, Dept Pancreaticbiliary Surg, Shanghai, Peoples R China
18.Shandong Jiaotong Univ, Renji Hosp, Sch Med, Dept Biliary Pancreat Surg, Shanghai, Peoples R China
19.Sichuan Univ, Dept Hepatobiliarypancreat Surg, West China Hosp, Chengdu 610064, Peoples R China
20.Fudan Univ, Huadong Hosp, Dept Surg, Shanghai 200032, Peoples R China
21.Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Hepatobiliary & Pancreat Surg, Hangzhou 310003, Zhejiang, Peoples R China
22.Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Pancreat Dis Inst, Wuhan 430074, Peoples R China
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GB/T 7714
Liu, Chen,Chen, Rufu,Chen, Yingtai,et al. Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)[J]. INTERNATIONAL JOURNAL OF ONCOLOGY,2015,47(4):1512-1516.
APA Liu, Chen.,Chen, Rufu.,Chen, Yingtai.,Fu, Deliang.,Hong, Defei.,...&Chinese Study Grp Pancreatic Canc.(2015).Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC).INTERNATIONAL JOURNAL OF ONCOLOGY,47(4),1512-1516.
MLA Liu, Chen,et al."Should a standard lymphadenectomy during pancreatoduodenectomy exclude para-aortic lymph nodes for all cases of resectable pancreatic head cancer? A consensus statement by the Chinese Study Group for Pancreatic Cancer (CSPAC)".INTERNATIONAL JOURNAL OF ONCOLOGY 47.4(2015):1512-1516.
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