关键词: 胰腺癌, 胰十二指肠切除术, 手术入路, 动脉先行入路

Abstract:

Evaluation of surgical approaches of pancreaticoduodenectomy        JIN Gang，ZHENG Kai-lian. Department of HBP Surgery，Changhai Hospital，the Second Military Medical University，Shanghai 200433，China
Corresponding author: JIN Gang, E-mail：jingang@sohu.com
Abstract    In the past ten years，some new techniques of the pancreatoduodenectomy(PD)， which is represented by the artery- first approach and no-touch technique，has a certain help to improve the R0 resection rate and reduce the risk during operation. The choice of surgical approach should be based on individual comprehensive consideration of patients, tumor location, vascular invasion, and technical experience of the surgeons. The PD surgical approaches included standard approach, no-touch technique, below the transverse mesocolon approach, early ligation of the efferent arteries of the head of pancreas, artery first approach, uncinate process first approach etc. Traditional approach PD is still the foundation and standard. For the large pancreatic surgery centers and experienced pancreatic surgeons, they should use the different approaches properly to improve the R0 resection rate and to reduce the operation risk. 

Key words: pancreatic cancer, pancreaticoduodenectomy, surgical approach, artery- first approach