关键词: 胰腺癌, 门静脉, 肠系膜上静脉, 腹腔镜胰十二指肠切除术, 血管切除

Abstract: Laparoscopic pancreaticoduodenectomy with venous resection and reconstruction: techniques and tips                        GAO Pan*, CAI Yun-qiang, PENG Bing. *Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China; Department of Hepatobiliary and Pancreatic Minimally Invasive Surgery, Shangjin Nanfu Hosptial, Chengdu 611730, China
Corresponding author: PENG Bing，E-mail：pengbing84@hotmail.com
Abstract    Pancreaticoduodenectomy with venous resection and reconstruction makes the patients with venous invasion enable to get benefits from surgery. With the advancement of technology, Laparoscopic pancreaticoduodenectomy with venous resection and reconstruction develop rapidly and has been carried out in some centers. Some retrospective studies have confirmed that this operation is safe and feasible in the perioperative period. Accurate preoperative evaluation, superior mesenteric artery(SMA) approach, surgical procedure, reasonable vascular resection and reconstruction methods, and evaluation of the vascular patency are the tips of this technique. Experienced minimally invasive surgeons of high-volume centers can greatly improve the safety of this technique. The multidisciplinary approach affords the best hope for improved outcomes in patients with pancreatic cancer and the treatment for pancreatic cancer develops more reasonable and regulated. Further trials are needed to evaluate the role of neoadjuvant treatment and the application of the laparoscopic approach in patients with major venous who answered on treatment.

Key words: pancreatic cancer, portal vein, superior mesenteric vein, laparoscopic pancreaticoduodenectomy, vascular resection