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中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 355 -359. doi: 10.3877/cma.j.issn.1674-3946.2022.04.001

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腔镜胰腺癌根治术的若干关键技术
杨尹默1,(), 高红桥1, 庄岩1, 田孝东1   
  1. 1. 100034 北京,北京大学第一医院普通外科
  • 收稿日期:2022-01-26 出版日期:2022-07-14
  • 通信作者: 杨尹默

The key techniques of laparoscopic radical resection for pancreatic cancer

Yinmo Yang1,(), Hongqiao Gao1, Yan Zhuang1, Xiaodong Tian1   

  1. 1. Department of Surgery,Beijing University First Hospital,Beijing 100034,China
  • Received:2022-01-26 Published:2022-07-14
  • Corresponding author: Yinmo Yang
  • Supported by:
    National Natural Science Fundation of China(81672353, 81871954); Capital City Clinical Featured Apllied Research(Z161100000516038)
引用本文:

杨尹默, 高红桥, 庄岩, 田孝东. 腔镜胰腺癌根治术的若干关键技术[J]. 中华普外科手术学杂志(电子版), 2022, 16(04): 355-359.

Yinmo Yang, Hongqiao Gao, Yan Zhuang, Xiaodong Tian. The key techniques of laparoscopic radical resection for pancreatic cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(04): 355-359.

与开放手术比较,腹腔镜和机器人辅助胰腺癌根治术具有出血少、术后恢复快等微创优势,肿瘤学评价仍有待高级别临床研究证实。手术团队成熟的操作技术和优化的手术程序是高质量完成胰十二指肠切除和胰体尾联合脾切除的基本要素,术中应合理使用高清手术设备和离断、闭合器械,遵循No-touch,en-bloc等原则进行R0切除和规范淋巴、神经清扫,根据胰腺质地、技术条件及术者的娴熟程度完成高质量的胰肠吻合等消化道重建。

Compared with laparotomy,laparoscopic and robotic assistant surgery for pancreatic cancer has the advantages of less bleeding and faster postoperative recovery,and oncology evaluation remains to be confirmed by high level clinical studies. The mature operation techniques and optimized surgical procedures are the basic elements for the high-quality pancreaticoduodenectomy and pancreaticobody tail combined splenectomy. During the operation,high-definition surgical equipment,detaching and closing instruments should be reasonably used,R0 resection and standard lymphatic and nerve dissection should be carried out in accordance with no-touch,en-bloc and other principles. The reconstruction of digestive tract,such as pancreaticoenterostomy,was performed with high quality according to the quality of pancreas,technical conditions and surgeon’s skill.

图1 Lap-RAMPS完成切除清扫全景图
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