关键词: 胰腺手术, 自体组织, 血管移植, 肝圆韧带, 大网膜, 后腹膜化, 胰岛细胞移植

Abstract: Application of autologous tissue in pancreatic surgery                LI Shi-zhen，QIN Ren-yi. Department of Biliary-Pancreatic Surgery，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430030，China
Corresponding author：QIN Ren-yi，E-mail：ryqin@tjh.tjmu.edu.cn
Abstract    Pancreatic surgery is challenging with high incidence of postoperative complications and greatly affected postoperative quality of life. Autologous tissue has been widely used in pancreatic surgery, which is of great significance in reducing the incidence of postoperative complications and improving the quality of life. The application of autologous tissue in pancreatic surgery mainly includes autologous vessel transplantation, the application of ligaments and greater omentum, autologous islet cell transplantation, and so on. Autogenous tissue is considered to be the preferred vascular graft during vascular reconstruction, but there is no consensus on the optimal graft selection. It is still controversial that the application of ligamentum teres hepatis, greater omentum and retroperitonealization of pancreatic stump in distal pancreatectomy could reduce the incidence of postoperative complications to some extent. Autologous islet cell transplantation plays a positive role in improving postoperative blood glucose control and postoperative quality of life. However, most of the studies on the application of autologous tissue are single-center retrospective studies, which means more multi-center prospective studies with large sample size are needed to confirm its value in the future.

Key words: pancreatic surgery autogenous tissue venous transplantation ligamentum teres hepatis greater omentum retroperitonealization islet cell transplantation