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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (03): 246-248. doi: 10.3877/cma.j.issn.1674-3946.2024.03.003

• Commentaries • Previous Articles    

Difficulties and strategies of laparoscopic pancreaticoduodenectomy

Huaizhi Wang1,(), Pijiang Sun1, Shang Cui2   

  1. 1. Institute of Hepatopancreatobiliary Surgery, People’s Hospital Affiliated to Chongqing University, Chongqing 404199, China
    2. Medical School of Qingdao University, Qingdao Shandong Province 266075, China
  • Received:2024-01-10 Online:2024-06-26 Published:2024-04-10
  • Contact: Huaizhi Wang
  • Supported by:
    National Natural Science Foundation of China(81672382); Natural Science Foundation of Chongqing(cstc2021ycjh-bgzxm0022); Chongqing Science and Technology Innovation and Application development special key project(Cstc2020jscx-sbqw0030); National Key R&D Project of China(2017YFC1308600)

Abstract:

In recent years, laparoscopic pancreaticoduodenectomy has rapidly developed. With the advancement of laparoscopic techniques, the indications for laparoscopic pancreaticoduodenectomy have gradually expanded. laparoscopic pancreaticoduodenectomy with vascular resection and reconstruction have been widely implemented in some major centers, and its safety has been confirmed. However, for some centers with less experience, laparoscopic pancreaticoduodenectomy remains a high-difficulty and high-risk surgery. The surgical challenges mainly consist of two parts: the difficulty of resection and the difficulty of gastrointestinal reconstruction. This article, combining the experience of our center, discusses the challenges and strategies of laparoscopic pancreaticoduodenectomy.

Key words: Pancreas, Laparoscopic Pancreaticoduodenectomy, Minimal Invasive Surgical Procedures

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