摘要为提高胰体尾癌的R0切除率,根治性顺行模块化胰脾切除术(RAMPS)在临床应用逐渐增多.与传统手术相比,RAMPS强调更深层面的解剖,整块切除肾筋膜(又称Gerota筋膜)、肾前脂肪囊甚至左侧肾上腺,并彻底清扫区域淋巴结(包括第7、8、9、10、11p、11d组,部分第14p/d组、部分第16a2及18组).RAMPS有助于提高R0切除率,但其本身亦存在许多尚未解决的问题,对患者生存期的影响也有待于进一步观察.

abstractsRadical antegrade modular pancreatosplenectomy (RAMPS) has been applied more and more in clinical practice to improve the R0 resection rate in pancreatic body/tail adenocarcinoma.Comparing with traditional procedure,the resection plane in RAMPS is deeper with en-bloc resection of renal fascia,anterior renal fat capsule and even left adrenal gland and regional lymph nodes including No.7,8,9,10,11 p,11 d,partial 14p/d,partial 16a2 and 18.Despite that RAMPS is in favor of improving R0 resection rate,there are many problems about this procedure unsolved and effect on patient survival is still awaited.