关键词: 微创外科, 胰腺外科, 腹腔镜, 加速康复外科

Abstract:

Consensus and controversy on clinical application of minimally invasive concepts and techniques in pancreatic surgery        LI Fei, CAO Feng. Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053，China
Corresponding author: LI Fei, E-mail:feili36@ccmu.edu.cn
Abstract    Nowadays, the concept of minimally invasive surgery has been widely accepted. In recent years, with the implementation of enhanced recovery after surgery, minimally invasive pancreatic surgery has progressed rapidly. In the treatment of late complications of acute pancreatitis, minimally invasive technique, represented by endoscopic and laparoscopic technique, have achieved great success and are consistently recommended by many guidelines. Laparoscopic pancreatoduodenectomy (LPD) and laparoscopic distal pancreatectomy (LDP) have developed rapidly and the safety has been confirmed. Retrospective studies suggested the similarity in oncologic, short-term and long-term results between LPD or LDP and open surgery in treatment of pancreatic cancer. Although complicated, the development and application of minimally invasive concepts and technology are the general trend.

Key words: minimally invasive surgery, pancreatic surgery, laparoscope, enhanced recovery after surgery