中国实用外科杂志

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腹腔镜胰十二指肠切除术:回顾与展望

张太平,邱江东   

  1. 中国医学科学院北京协和医院基本外科,北京100730
  • 出版日期:2022-05-01

  • Online:2022-05-01

摘要: 随着微创技术的进步和加速康复外科理念的普及,腹腔镜胰十二指肠切除术的应用获得极大发展,改变了胰腺疾病治疗的现状。经过近30年的探索,腹腔镜胰十二指肠切除术在手术安全性方面已与传统开放手术相当,在术后加速康复等方面显示出较大优势。然而,在当前胰腺疾病诊治中,腹腔镜胰十二指肠切除术在恶性肿瘤根治性及学习曲线等方面仍存在争议与不足。如何建立标准的培训、操作规范及全流程管理体系,是未来腹腔镜胰十二指肠切除术高质量开展的必经之路。

关键词: 腹腔镜胰十二指肠切除术, 微创, 学习曲线, 规范

Abstract: Laparoscopic pancreaticoduodenectomy: review and prospective        ZHANG Tai-ping, QIU Jiang-dong. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Corresponding author:ZHANG Tai-ping,E-mail:andrewzhangt@aliyun.com
Abstract    With the progress of minimally invasive technology and the popularization of the concept of enhanced recovery after surgery, the application of laparoscopic pancreaticoduodenectomy has been greatly developed, changing the situation of the treatment of pancreatic diseases. After nearly 30 years of exploration, laparoscopic pancreaticoduodenectomy has been comparable to traditional open surgery in terms of safety and has shown great advantages in accelerated postoperative recovery. However, at present, in the diagnosis and treatment of pancreatic diseases, laparoscopic pancreaticoduodenectomy is still controversial in the aspects of the radical treatment of malignant tumors and the learning curve. How establish a standard training, operation specifications,and whole process management system is the only way to carry out high-quality laparoscopic pancreaticoduodenectomy in the future.  

Key words: laparoscopic pancreaticoduodenectomy, minimally invasive, learning curve, standardization