Hierarchical Radical Resection of Pancreaticoduodenectomy (HRR-PD). A New Classification to Guide Operative Decisions for Cancer

Sun J, Zhang P, Lu W1 Zhang F and Wu D

Department of Hepatic & Biliary & Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology

^*Correspondance to: Junwei Sun 

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Abstract:

For periampullary cancer and pancreatic head cancer, pancreaticoduodenectomy has always been a standard surgical method. The scope of its resection seems to be clear, but its detailed anatomical locations are not clearly defined. At the same time, although its surgical methods have been improving, surgical methods are constantly being redefined from the perspectives of lymph node dissection, lacunar anatomy, and mesentery. However, these improved theories are mostly mutually exclusive, cannot be thought of under a unified theoretical framework, and lack hierarchical and en bloc resection thinking. It is obvious that a single surgical resection range cannot adapt to the characteristics of cancers with different biological behaviors. Based on this, we proposed a theory of “hierarchical radical cure with pancreaticoduodenectomy”. It has three levels of surgical resection range, and this concept emphasizes the principle of block resection. It can meet the needs of different levels of resection range and ensures the principle of resection of malignant tumors.

Keywords:

Hierarchical radical resection; Pancreaticoduodenectomy; Cancer

Cite the Article:

Sun J, Zhang P, Lu W1 Zhang F and Wu D. Hierarchical Radical Resection of Pancreaticoduodenectomy (HRR-PD). A New Classification to Guide Operative Decisions for Cancer. Clin Oncol. 2024;9:2103..