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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 325 -327. doi: 10.3877/cma.j.issn.1674-3946.2019.04.001

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腹腔镜胰腺癌根治术的热点与展望
赵玉沛1,(), 崔铭1, 张太平1   
  1. 1. 100730 北京,中国医学科学院北京协和医院
  • 收稿日期:2018-11-14 出版日期:2019-08-26
  • 通信作者: 赵玉沛

Hot spots and prospects of laparoscopic surgery for pancreatic cancer

Yupei Zhao1,(), Ming Cui1, Taiping Zhang1   

  1. 1. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medicine Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2018-11-14 Published:2019-08-26
  • Corresponding author: Yupei Zhao
  • About author:
    Corresponding author: Zhao Yupei, Email:
  • Supported by:
    National Natural Science Foundation of China(81772639); Natural Science Foundation of Beijing(7100003); Project of Initiative Medicine program of Chinese Academy of Medical Sciences(CAMS)(2016-I2M-1-001)
引用本文:

赵玉沛, 崔铭, 张太平. 腹腔镜胰腺癌根治术的热点与展望[J]. 中华普外科手术学杂志(电子版), 2019, 13(04): 325-327.

Yupei Zhao, Ming Cui, Taiping Zhang. Hot spots and prospects of laparoscopic surgery for pancreatic cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 325-327.

随着微创技术的不断发展,腹腔镜手术已广泛应用于胰腺疾病的手术治疗中。相比于胰腺良性或低度恶性肿瘤,胰腺癌的手术治疗相对复杂,腹腔镜技术在胰腺癌手术治疗中的应用也相对滞后。近年来,腹腔镜技术在胰腺癌中的应用得到了长足的发展,腹腔镜胰十二指肠切除术(LPD)及腹腔镜胰体尾切除术(LDP)逐步在胰腺癌根治术中开展应用,体现出了腹腔镜技术的微创优势,其安全性及有效性也得到了初步的证实。但目前仍需高质量的相关研究,促进腹腔镜技术在胰腺癌治疗的不断发展、成熟,为更多的胰腺癌患者带来益处。

With the development of minimally invasive surgery, laparoscopic surgery has been widely applied in the treatment of pancreatic diseases. Compared with benign lesions or low-grade malignancies of pancreas, pancreatic cancer surgery is more difficult, therefore the development of laparoscopic surgery for pancreatic cancer is left behind relatively. In recent years, rapid progress has been made in laparoscopic techniques for pancreatic cancer. Laparoscopic pancreaticduodenectomy and laparoscopic distal pancreatectomy have gradually been performed, which showed minimally invasive advantage and preliminary safety and effectiveness. However, high-level studies are still needed for the improvement of laparoscopic surgery in the treatment of pancreatic cancer, aiming to benefit more patients with pancreatic cancer.

[1]
庄岩,田孝东,高红桥,等.腹腔镜胰十二指肠切除术的难点与争议[J/CD].中华普外科手术学杂志(电子版),2018,12(4):271-274.
[2]
戴梦华.腹腔镜下半旋转胰头动脉优先入路十二指肠切除术的临床意义[J/CD].中华普外科手术学杂志(电子版),2018,12(4):275-278.
[3]
李冠群,陈华,孙备.腹腔镜胰体尾切除术的意义与评价[J/CD].中华普外科手术学杂志(电子版),2018,12(4):283-286.
[4]
Gagner M, Pomp A. Laparoscopic pylorus-preserving pancreatoduodenectomy[J]. Surg Endosc,1994,8(5):408-410.
[5]
Gagner M, Pomp A, Herrera MF.Early experience with laparoscopic resections of islet cell tumors[J]. Surgery,1996,120(6):1051-1054.
[6]
Gagner M, Pomp A.Laparoscopic pancreatic resection: Is it worthwhile?[J].J Gastrointest Surg,1997,1(1):20-26.
[7]
Palanivelu C, Jani K, Senthilnathan P, et al.Laparoscopic pancreaticoduodenectomy: technique and outcomes[J]. J Am Coll Surg,2007,205(2):222-230.
[8]
Kendrick ML, Cusati D. Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience[J]. Arch Surg,2010,145(1):19-23.
[9]
Sahakyan MA, Kazaryan AM, Rawashdeh M, et al.Laparoscopic distal pancreatectomy for pancreatic ductal adenocarcinoma: results of a multicenter cohort study on 196 patients[J]. Surg Endosc,2016,30(8):3409-3418.
[10]
Croome KP, Farnell MB, Que FG, et al.Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches?[J].Ann Surg,2014,260(4):633-640.
[11]
Croome KP, Farnell MB, Que FG, et al. Pancreaticoduodenectomy with major vascular resection: a comparison of laparoscopic versus open approaches[J]. J Gastrointest Surg,2015,19(1):189-194.
[12]
Poves I, Burdio F, Morato O, et al. Comparison of Perioperative Outcomes Between Laparoscopic and Open Approach for Pancreatoduodenectomy: The PADULAP Randomized Controlled Trial[J]. Ann Surg,2018,268(5):731-739.
[13]
Nagakawa Y, Nakamura Y, Honda G, et al. Learning curve and surgical factors influencing the surgical outcomes during the initial experience with laparoscopic pancreaticoduodenectomy[J]. J Hepatobiliary Pancreat Sci,2018,25(11):498-507.
[14]
张太平,冯梦宇,赵玉沛.积极稳妥、循序渐进地开展腹腔镜胰十二指肠切除术[J].中华外科杂志,2017,55(5):321-324.
[15]
Kooby DA, Gillespie T, Bentrem D, et al. Left-sided pancreatectomy: a multicenter comparison of laparoscopic and open approaches[J]. Ann Surg,2008,248(3):438-446.
[16]
Vijan SS, Ahmed KA, Harmsen WS, et al.Laparoscopic vs open distal pancreatectomy: a single-institution comparative study[J]. Arch Surg,2010,145(7):616-621.
[17]
Stauffer JA, Coppola A, Mody K, et al. Laparoscopic Versus Open Distal Pancreatectomy for Pancreatic Adenocarcinoma[J]. World J Surg,2016,40(6):1477-1484.
[18]
van Hilst J, de Rooij T, Klompmaker S, et al.Minimally Invasive versus Open Distal Pancreatectomy for Ductal Adenocarcinoma (DIPLOMA): A Pan-European Propensity Score Matched Study[J]. Ann Surg,2019,269(1):10-17.
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