关键词: 胰十二指肠切除术, 适应证, 扩大淋巴结清扫, 消化道重建

Abstract:

Essentials of the standardized procedures for pancreaticoduodenectomy        MIAO Yi. Pancreas Center，the First Affiliated Hospital with Nanjing Medical University，Nanjing 210029，China
Abstract    Pancreaticoduodenectomy (PD) is one of the most complicated procedure in abdominal surgery，which is challengeable in terms of resection and reconstruction. PD was performed currently as one of the routine procedure and it was emphasized that how to perform it with standardization. Surgical indication should be selected strictly, evaluation of biological respectability was needed, routine pre-operative biliary drainage was not recommended, try to obtain pathological results pre-operatively & intra-operatively and to confirm extent of lymphadenectomy according to location & biological behavior of the tumors, combined vascular resection could be considered when veins were involved if the negative margin was available, try to select the familiar ways of reconstruction for the operator, the quality of anastomosis is more important than the method itself,abdomimal drains were recommended to place. 

Key words: pancreaticoduodenectomy, indication, extended lymph node dissection, digestive tract reconstruction