伴随着腹腔镜器械及设备的更新，微创理念不断深入，腹腔镜胰十二指肠切除术(LPD)逐渐成为胰腺外科发展的热点话题，是胰腺外科中心成熟的标志之一。然而其难度大、手术并发症发生率高，对于胰腺外科医师挑战性极高。回首以往20年，我国LPD发展经历了从无到有、由简单到复杂、从稚嫩走向成熟的蜕变，目前已进入快速发展阶段，笔者有幸见证这一历程。然而，作为普外科的高精尖手术，仍有争议亟待解决。笔者通过回顾我国LPD手术20年发展历程，对现存问题加以阐述，以期提升我国广大胰腺外科同道对于LPD的再认识，促进LPD在我国进一步发展。

With the updating of laparoscopic instruments and equipment, and the deepening of minimally invasive concept, laparoscopic pancreaticoduodenectomy (LPD) has gradually become a hot topic in pancreatic surgery and one of the signs of the maturity of pancreatic surgery center. However, it’s extremely challenging for pancreatic surgeons because of its difficulty and high incidence of surgical complications. Looking back over the past 20 years, in, the development of LPD in China has experienced a transformation from scratch, from simple to complex, from immature to mature, and now it has entered the stage of rapid development. The author is honored to witness this process. However, as a sophisticated operation in general surgery, there are still disputes to be solved. By reviewing the 20-year development history of LPD surgery in China, the author elaborates the existing problems in order to enhance the understanding of LPD by the majority of pancreatic surgeons in China and promote the further development of LPD in China.