开腹还是腹腔镜或机器人：胰体尾肿瘤切除方式的选择  

The operation techniques of distal pancreatectomy： laparotomy, laparoscopy or robotic surgery

作　　者：彭承宏[1] 李花[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院普外科,200025

出　　处：《中华外科杂志》2016年第11期807-810,共4页Chinese Journal of Surgery

摘　　要：胰腺外科因其本身手术的复杂性,微创手术的应用一直晚于其他外科.但随着微创外科的逐渐发展,尤其是机器人辅助手术系统问世以来,胰腺外科在微创领域取得了巨大成就.腹腔镜及机器人技术广泛应用于胰腺外科,同时开腹手术技术也在发展,三者各有优劣,如何选择术式成了胰腺外科医师面临的新问题.微创胰体尾切除手术尤其是机器人辅助手术的安全性和可行性已得到多方证实.但即使有诸多优点,腹腔镜手术和机器人辅助手术均无法完全替代开腹手术,胰腺外科医师熟练掌握三种手术方式有助于其得心应手地处理复杂的临床问题.Due to the operational complexity,the application of minimally invasive surgery in pancreatic procedure has been delayed than other departments.But with the gradual development of minimally invasive surgery,especially since the introduction of robotic surgery system,pancreatic surgery in this field has seen a great number of achievement.Laparoscopic and robotic technology is being widely adopted,while the technique of laparotomy is also developing.These three operation techniques have their advantages and disadvantages.Which method to option for became a new problem for pancreatic surgeons.The safety and feasibility of minimally invasive surgery especially robotic procedure for distal pancreatectomy have been confirmed by many agencies.But even with these advantages,laparoscopic and robotic surgery can not completely replace laparotomy.Pancreatic surgeons need to master these three operation methods to be able to handle complicated clinical situations.

关 键 词：胰腺肿瘤 胰腺切除术 腹腔镜手术 机器人辅助手术 

分 类 号：R735.9[医药卫生—肿瘤]