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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (02) : 124 -128. doi: 10.3877/cma.j.issn.1674-3946.2023.02.003

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中国微创技术在胰腺癌手术中的应用现状和展望
田锋1, 郭俊超1,()   
  1. 1. 100730 北京,中国医学科学院北京协和医院基本外科
  • 出版日期:2023-04-26
  • 通信作者: 郭俊超

Current status and prospect of minimally invasive surgery in pancreatic cancer in China

Feng Tian1, Junchao Guo1,()   

  1. 1. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Published:2023-04-26
  • Corresponding author: Junchao Guo
  • Supported by:
    The National Natural Science Foundation of China(81972324, 30600595); CAMS Innovation Fund for Medical Sciences(CIFMS)(2016-I2M-3-019); National High-tech R&D Program of China(863 Program)(2014AA020609)
引用本文:

田锋, 郭俊超. 中国微创技术在胰腺癌手术中的应用现状和展望[J/OL]. 中华普外科手术学杂志(电子版), 2023, 17(02): 124-128.

Feng Tian, Junchao Guo. Current status and prospect of minimally invasive surgery in pancreatic cancer in China[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(02): 124-128.

手术切除是唯一可能根治胰腺癌的方法。在过去10年中,微创胰腺切除技术(包括腹腔镜和机器人技术)快速发展并取得了长足的进步,在较大型胰腺中心已成为胰腺癌手术治疗的选择之一。尽管微创胰腺切除相比开腹入路在围手术期安全性指标和术后康复中展现了部分优势,但在肿瘤学结局疗效方面仍然存在争议。现有循证医学证据以单中心、回顾性研究为主,大多混合纳入不同的病理类型。因此,微创胰腺癌根治性切除是否可带来肿瘤学疗效上的获益以及可能的获益人群均须通过高质量随机对照研究来解答。设计并执行高质量临床研究,加强多中心协作将有助于提升微创技术在胰腺癌切除中的个体化应用,提升我国在该领域的国际影响力。

Surgical resection is the only potential method to cure pancreatic cancer. In the past 10 years,minimally invasive pancreatic resection(including laparoscopy and robotics)has developed rapidly and made great progress. It has become one of the treatment options of pancreatic cancer in larger pancreatic centers. Although minimally invasive pancreatectomy has shown some advantages in perioperative variables compared with the open approach,there are still controversies on the oncological outcomes. The existing evidence of evidence-based medicine is mainly single center,retrospective research,and most of them enrolled mixed pathological types. Therefore,whether minimally invasive radical resection of pancreatic cancer can bring benefits in oncology efficacy must be answered through high-quality randomized controlled studies. The design and implementation of high-quality clinical research and the strengthening of multi-center cooperation will help to enhance the individualized application of minimally invasive technology in pancreatic cancer resection and enhance China’s international influence in this field.

[1]
Siegel RLMiller KDJemal A. Cancer statistics,2020[J]. CA Cancer J Clin202070(1):7-30.
[2]
赵玉沛,邱江东. 中国腹腔镜胰腺癌根治术:20年回顾与展望[J/CD]. 中华普外科手术学杂志(电子版)202115(03):237-240.
[3]
张太平,刘悦泽. 中国腹腔镜胰十二指肠切除术20年发展、存在问题及对策[J/CD]. 中华普外科手术学杂志(电子版)202115(03):241-244.
[4]
杨尹默,高红桥,庄岩,腹腔镜胰腺癌根治术的若干关键技术[J/CD]. 中华普外科手术学杂志(电子版)202216(04):355-359.
[5]
Gagner MPomp A. Laparoscopic pancreatic resection:Is it worthwhile?[J]J Gastrointest Surg19971(1):20-25;discussion 25-26.
[6]
Giulianotti PCCoratti AAngelini M,et al. Robotics in general surgery:personal experience in a large community hospital[J]. Arch Surg2003138(7):777-784.
[7]
Miyasaka YOhtsuka TNakamura M. Minimally invasive surgery for pancreatic cancer[J]. Surg Today202151(2):194-203
[8]
de Rooij Tvan Hilst Jvan Santvoort H,et al. Minimally Invasive Versus Open Distal Pancreatectomy(LEOPARD):A Multicenter Patient-blinded Randomized Controlled Trial[J]. Ann Surg2019269(1):2-9.
[9]
van Hilst Jde Rooij TKlompmaker S,et al. Minimally Invasive versus Open Distal Pancreatectomy for Ductal Adenocarcinoma(DIPLOMA):A Pan-European Propensity Score Matched Study[J]. Ann Surg2019269(1):10-17.
[10]
Raoof MItuarte PHGWoo Y,et al. Propensity score-matched comparison of oncological outcomes between laparoscopic and open distal pancreatic resection[J]. Br J Surg2018105(5):578-586.
[11]
van Hilst JKorrel Mde Rooij T,et al. Oncologic outcomes of minimally invasive versus open distal pancreatectomy for pancreatic ductal adenocarcinoma:A systematic review and meta-analysis[J]. Eur J Surg Oncol201945(5):719-727.
[12]
Feng QJiang CFeng X,et al. Robotic Versus Laparoscopic Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma:A Systematic Review and Meta-Analysis[J]. Front Oncol202111:752236.
[13]
Chen KTong QYan JF,et al. Laparoscopic versus open distal pancreatectomy for pancreatic ductal adenocarcinoma:a single-center propensity score matching study[J]. Updates Surg202072(2):387-397.
[14]
Strasberg SMDrebin JALinehan D. Radical antegrade modular pancreatosplenectomy[J]. Surgery2003133(5):521-527.
[15]
Lee SHKang CMHwang HK,et al. Minimally invasive RAMPS in well-selected left-sided pancreatic cancer within Yonsei criteria:long-term(>median 3 years)oncologic outcomes[J]. Surg Endosc201428(10):2848-2855.
[16]
Zhang HLi YLiao Q,et al. Comparison of minimal invasive versus open radical antegrade modular pancreatosplenectomy(RAMPS)for pancreatic ductal adenocarcinoma:a single center retrospective study[J]. Surg Endosc202135(7):3763-3773.
[17]
Tian FSun MQLu J,et al. Retrograde artery first approach for "shoulder" pancreatic cancers in minimally invasive distal pancreatectomy[J]. Surg Endosc202135(1):74-80.
[18]
Dai MZhang HYang Y,et al. The effect of minimally invasive or open radical antegrade modular pancreatosplenectomy on pancreatic cancer:A multicenter randomized clinical trial protocol[J]. Front Oncol202212:965508.
[19]
Wang SShi NYou L,et al. Minimally invasive surgical approach versus open procedure for pancreaticoduodenectomy:A systematic review and meta-analysis[J]. Medicine(Baltimore)201796(5):e8619.
[20]
Wang MPeng BLiu J,et al. Practice Patterns and Perioperative Outcomes of Laparoscopic Pancreaticoduodenectomy in China:A Retrospective Multicenter Analysis of 1029 Patients[J]. Ann Surg2021273(1):145-153.
[21]
Wang MLi DChen R,et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours:a multicentre,open-label,randomised controlled trial[J]. Lancet Gastroenterol Hepatol20216(6):438-447.
[22]
Poves IBurdío FMorató O,et al. Comparison of Perioperative Outcomes Between Laparoscopic and Open Approach for Pancreatoduodenectomy:The PADULAP Randomized Controlled Trial[J]. Ann Surg2018268(5):731-739.
[23]
Palanivelu CSenthilnathan PSabnis SC,et al. Randomized clinical trial of laparoscopic versus open pancreatoduodenectomy for periampullary tumours[J]. Br J Surg2017104(11):1443-1450.
[24]
van Hilst Jde Rooij TBosscha K,et al. Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours(LEOPARD-2):a multicentre,patient-blinded,randomised controlled phase 2/3 trial[J]. Lancet Gastroenterol Hepatol20194(3):199-207.
[25]
Pędziwiatr MMałczak PPisarska M,et al. Minimally invasive versus open pancreatoduodenectomy-systematic review and meta-analysis[J]. Langenbecks Arch Surg2017402(5):841-851.
[26]
Beal EWDalmacy DParo A,et al. Comparing Minimally Invasive and Open Pancreaticoduodenectomy for the Treatment of Pancreatic Cancer:a Win Ratio Analysis[J]. J Gastrointest Surg202226(8):1697-1704.
[27]
Zhang ZYin TQin T,et al. Comparison of laparoscopic versus open pancreaticoduodenectomy in patients with resectable pancreatic ductal adenocarcinoma:A propensity score-matching analysis of long-term survival[J]. Pancreatology202222(2):317-324.
[28]
Croome KPFarnell MBQue FG,et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma:oncologic advantages over open approaches?[J]Ann Surg2014260(4):633-638;discussion 638-640.
[29]
Chen KPan YZhang B,et al. Laparoscopic versus open pancreatectomy for pancreatic ductal adenocarcinoma:A systematic review and meta-analysis[J]. Int J Surg201853:243-256.
[30]
Yan QXu LBRen ZF,et al. Robotic versus open pancreaticoduodenectomy:a meta-analysis of short-term outcomes[J]. Surg Endosc202034(2):501-509.
[31]
Zureikat AHPostlewait LMLiu Y,et al. A Multi-institutional Comparison of Perioperative Outcomes of Robotic and Open Pancreaticoduodenectomy[J]. Ann Surg2016264(4):640-649.
[32]
姜毓,翁原驰,金佳斌,等. 机器人辅助胰十二指肠切除术治疗胰头导管腺癌的安全性及预后分析[J]. 腹部外科201932(05):335-339.
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