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中华普外科手术学杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 478 -482. doi: 10.3877/cma.j.issn.1674-3946.2025.05.001

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我国胰头癌腹腔镜手术的现状、存在问题与展望
谢学海, 杨尹默()   
  1. 100034 北京,北京大学第一医院肝胆胰外科
  • 收稿日期:2024-12-18 出版日期:2025-10-26
  • 通信作者: 杨尹默

Current status, challenges, and future prospectives of laparoscopic surgeryfor pancreatic head cancer in China

Xuehai Xie, Yinmo Yang()   

  1. Department of Hepatobiliary and Pancreatic Surgery, Peking University First Hospital, Beijing 100034, China
  • Received:2024-12-18 Published:2025-10-26
  • Corresponding author: Yinmo Yang
  • Supported by:
    National Natural Science Foundation of China(82171722); National High Level Hospitao Clinical Research Funding(Interdepartmental Clinical Research Project of Peking University First Hospital 2022CR12)
引用本文:

谢学海, 杨尹默. 我国胰头癌腹腔镜手术的现状、存在问题与展望[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(05): 478-482.

Xuehai Xie, Yinmo Yang. Current status, challenges, and future prospectives of laparoscopic surgeryfor pancreatic head cancer in China[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(05): 478-482.

20年来,我国腹腔镜胰腺外科发展迅速,以腹腔镜胰十二指肠切除术为代表,在开展数量、手术切除率、安全性及有效性等方面位居世界前列。然而,腹腔镜胰十二指肠切除术应用于胰头癌外科治疗,在安全性、近远期肿瘤疗效、学习曲线等方面,尚存在一定争议;在技术层面如入路选择、胰肠吻合、海德堡三角清扫等方面亦有诸多不同意见。本文针对我国腹腔镜胰头癌外科治疗现状并结合自身经验,探讨上述问题,展望我国微创胰腺外科的发展。

Over the past 20 years, laparoscopic pancreatic surgery has developed rapidly in China, with laparoscopic pancreaticoduodenectomy (LPD) as a representative procedure, ranking among the world’s leading positions in terms of surgical volume, resection rates, safety, and efficacy. However, the application of LPD in the surgical treatment of pancreatic head cancer still faces certain controversies regarding safety, short-term and long-term oncological outcomes, and learning curves. At the technical level, there are also various opinionss on aspects such as surgical approach, pancreaticojejunostomy, and the triangle dissection. This article summarizes the current status of laparoscopic surgical treatment for pancreatic head cancer in China and, combined with our own experience, explores related issues to provides perspectives on the development of minimally invasive pancreatic surgery in China.

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