摘要传统的远端胰体尾脾切除术(DPS)一直被认为是治疗可切除性胰体尾癌最为标准的手术方式.随着医疗技术水平的不断进步,DPS的R0切除率、淋巴结清扫数量并未得到显著提升,患者术后5年生存率无明显改善.因此,以提高胰腺体尾癌患者预后为目的,以胰腺的胚胎发育学、解剖学为基础并结合最新的肿瘤治疗理念,经过胰腺外科医师的不断探索,根治性顺行模块化胰脾切除术(RAMPS)被提出并以其在R0切除率和区域淋巴结清除等方面的优势正逐渐被认可,有望成为胰体尾癌手术切除的标准术式.

abstractsThe traditional distal pancreatosplenectomy (DPS) has been the standard surgical procedure for the treatment of resectable pancreatic carcinoma of body and tail.With the development of medical technology,however,the results including the rate of R0 resection,number of lymph nodes dissected and postoperative 5-year survival rate were not significantly improved after DPS.According to pancreatic anatomy and phylembryogenesis,combined with renewed tumor treatment concept,the radical antegrade modular pancreatosplenectomy (RAMPS) was put forward after continuous exploration of pancreatic surgeons to improve prognosis of patients with pancreatic carcinoma of body and tail.Compared with DPS,RAMPS has advantages of R0 resection rate and regional lymphadenectomy and might become the standard surgical procedure.