关键词: 腹腔镜胰十二指肠切除术, 临床研究

Abstract: Progress and directions in clinical research on laparoscopic pancreaticoduodenectomy        QIN Ren-yi, PENG Feng. Department of Biliary-Pancreatic Surgery, the Affiliated 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    Laparoscopic pancreaticoduodenectomy (LPD) is one of the new technologies and academic hotspots in hepatobiliary and pancreatic surgery. LPD is safe, feasible, and has certain advantages in some aspects in large hospitals and for experienced surgeons. At the current level of evidence, LPD is not an equivalent alternative to open pancreaticoduodenectomy. Although LPD requires a longer surgical time, it can significantly reduce blood loss and reduce postoperative hospital stay and serious complications. Although the LPD learning curve is long, there are many ways surgeons can speed up the learning curve. Further research should focus on training programs in pancreatic surgery and laparoscopic surgery techniques at the large scale pancreatic surgery center to safely overcome the adverse effects of the learning curve through adequate training, guidance and supervision, as well as precise patient selection. In addition, it is necessary to further study the technical details and surgical approaches of LPD in the low-volume center, so as to avoid the influence of the central volume and further promote the technology of LPD.

Key words: laparoscopic pancreaticoduodenectomy, clinical research