相比胰十二指肠切除术(PD)和远端胰腺切除术(DP)，胰腺中段切除术(CP)适用于胰颈体部良性或低度恶性肿瘤，保留更多的胰腺内外分泌功能。随着微创外科理念的推广和技术成熟，腹腔镜胰腺中段切除术得到了愈来愈多的应用。在获得清晰手术视野，方便精细操作的同时，对术者也提出了更高的技术要求。本中心近期成功完成一例特殊腹腔镜胰腺手术，术前拟行腹腔镜胰腺中段切除术，由于胰管细小，无法定位，转而施行保留脾血管的远端胰腺切除术。我们的经验显示，熟练掌握多种胰腺术式对安全开展腹腔镜胰腺手术尤为重要。

Compared with pancreaticoduodenectomy (PD) and distal pancreatectomy (DP), central pancreatectomy (CP) is applied for the surgical treatment of benign or low-grade malignant tumor which locate in the pancreatic neck and body. Laparoscopic central pancreatectomy (LCP) is rapidly accepted as the advance of minimally invasive surgery, which generally needs more advanced technical requirement for the surgeons. A complicated case of laparoscopic pancreatectomy is successfully completed in our center. LCP is planned in the pre-operation evaluation. Finally, laparoscopic splenic vessel preserving distal pancreatectomy is performed due to the unlocated slim pancreatic duct. It is safe and feasible for laparoscopic pancreatectomy when advanced pancreatic techniques are available.