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中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 360 -363. doi: 10.3877/cma.j.issn.1674-3946.2022.04.002

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中国腹腔镜胰腺癌手术需要注意的几个问题
孙备1,(), 陈华1, 刘红阳1   
  1. 1. 150001 哈尔滨,哈尔滨医科大学附属第一医院胰胆外科
  • 收稿日期:2021-11-27 出版日期:2022-07-14
  • 通信作者: 孙备

Several problems needed attention in laparoscopic surgery for pancreatic cancer in China

Bei Sun1,(), Hua Chen1, Hongyang Liu1   

  1. 1. Department of Pancreatic and Biliary Surgery,the First Affiliated Hospital of Harbin Medical University,Key Laboratory of Hepatosplenic Surgery,Ministry of Education,Harbin Heilongjiang Province 150001,China
  • Received:2021-11-27 Published:2022-07-14
  • Corresponding author: Bei Sun
  • Supported by:
    The National Natural Science Foundation of China(81670583, 81871974, 82070658)
引用本文:

孙备, 陈华, 刘红阳. 中国腹腔镜胰腺癌手术需要注意的几个问题[J/OL]. 中华普外科手术学杂志(电子版), 2022, 16(04): 360-363.

Bei Sun, Hua Chen, Hongyang Liu. Several problems needed attention in laparoscopic surgery for pancreatic cancer in China[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(04): 360-363.

近年来,腹腔镜胰腺癌手术在我国发展迅猛,但存在不同地区间发展不够均衡、操作不够规范等问题。我们应该根据所处的学习曲线、所在机构的硬件条件、患者的自身情况、术者经验及团队配合等因素严格的掌握手术指征。同时,应遵循以根治性为目的的肿瘤治疗原则,确定合理的手术范围。还应根据病变的大小、所处的部位及与周围血管的关系等综合考量,采取适当的手术入路。随着规范化程度的提高,腹腔镜胰腺癌手术会为患者带来更多的获益。

In recent years,laparoscopic surgery for pancreatic cancer has developed rapidly in China,but there are problems such as unbalanced development among different regions and unstandardized operations. We should strictly grasp the surgical indications according to the learning curve,the hardware conditions of the institution,the patient’s own situation,the experience of the surgeon,and the team cooperation. At the same time,the principles for treatment of malignant tumor should be followed,and the reasonable scope of surgery should be determined for the purpose of radical treatment. The size of the lesion,the location and the relationship with the surrounding blood vessels should also be considered comprehensively,and an appropriate surgical approach should be adopted. With the improvement of standardization,laparoscopic pancreatic cancer surgery will bring more benefits to patients.

图3 腹腔镜下胰腺癌手术淋巴结清扫范围
图5 腹腔镜后入路根治性顺行模块化胰脾切除术(L-RAMPS)
图7 结肠下后方肠系膜上动脉入路
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