中国实用外科杂志

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胰十二指肠切除术现状与展望

赵玉沛   

  1. 中国医学科学院  北京协和医学院  北京协和医院基本外科,北京100730
  • 出版日期:2016-08-01 发布日期:2016-07-27

  • Online:2016-08-01 Published:2016-07-27

摘要:

胰十二指肠切除术是治疗壶腹周围恶性肿瘤、癌前病变和部分良性疾病的标准术式。数十年来,胰十二指肠切除术不断发展,手术方式不断规范,相关医学技术与手术器械不断改进,使手术安全性不断提高。近年来,腹腔镜及机器人辅助胰十二指肠切除术在临床逐步实施,为保证手术安全和质量,应严格掌握适应证,同时应在大型医疗中心由经验丰富的医生稳步开展,尽量减少学习曲线导致的手术并发症发生。相信随着技术的不断发展,腹腔镜和机器人胰十二指肠切除术将更加成熟与规范。

关键词: 胰十二指肠切除术, 腹腔镜, 机器人手术系统

Abstract:

The present situation and prospect of pancreaticoduodenectomy        ZHAO Yu-pei. Department of General Surgery,Peking Union Medical College Hospital,Peking Union Medical College,Beijing 100730,China
Abstract    Pancreaticoduodenectomy is the standard procedure for the surgery of periampullary diseases,including cancer,precancerous lesions,and part of benign diseases. For decades,pancreaticoduodenectomy has developed continuously with the development of surgical technology and instruments so that surgical procedures have been standardized and the safety of pancreaticoduodenectomy has been improved. In recent years,laparoscopic pancreatoduicodenectomy and robotic pancreaticoduodenectomy has been carried out on clinic. In order to make sure the safety and quality of the operation and minimize postoperative complications,minimally invasive pancreaticoduodenectomy should be well evaluated and be carried out by a experienced surgeon in a high volume center. We can expect that laparoscopic pancreaticoduodenectomy and robotic pancreaticoduodenectomy will be more and more standardized and well developed with the constant development of surgical experience and technology in the future. 

Key words: pancreaticoduodenectomy, laparoscopy, robot surgical system