动脉入路在腹腔镜胰十二指肠切除术中的运用  

Application of the arterial approach in laparoscopic pancreato-duodenectomy

作　　者：秦仁义[1] 马春阳[1] 朱峰[1] 王敏[1] 彭丰[1] Qin Renyi Ma Chunyang Zhu Feng Wang Min Peng Feng.(Department of Biliary Pancreatic Surgery＇, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Chin)

机构地区：[1]华中科技大学同济医学院附属同济医院胆胰外科,武汉430030

出　　处：《中华消化外科杂志》2017年第8期791-796,共6页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金（81602475、81502633、81402443）;国家“十一五”支撑项目（2006BA102A13-402）

摘　　要：胰十二指肠切除术是胰头及壶腹周围肿瘤的主要治疗方式，也是唯一可能治愈的方式。随着微创外科技术的发展，腹腔镜胰十二指肠切除术已广泛开展，甚至在部分胰腺外科中心成为常规手术方式。腹腔镜胰十二指肠切除术的手术入路仍以传统入路为主。近年来，在不断的学习探索中，动脉入路的手术方式已被提出并逐渐开展。笔者单位在前期动脉入路的基础上，建立了动脉优先离断的动脉入路腹腔镜胰十二指肠切除术，称之为动脉优先入路腹腔镜胰十二指肠切除术。在临床实践和临床研究中，该入路体现出独特的优势。Pancreaticoduodenectomy is the main treatment method for pancreatic head carcinoma and periampullary cancer, and is also the only possible cure way. With the development of minimally invasive surgery, laparoscopic pancreaticoduodenectomy has been widely carried out, it even has been the routine operation in some pancreatic surgery center.The traditional approach is still the main approach for laparoscopic pancreaticoduodenectomy. In recent years, the procedure of the artery approach with its advantages has been put forward and gradually developed in laparoscopic pancreaticoduodenectomy through the continuous study and exploration. On the basis of the early arterial approach, authors′ center established an artery preferential disconnection procedure in laparoscopic pancreaticoduodenectomy, which has been named arterial first approach.In the clinical practices and studies, this procedure also represents its unique advantages.

关 键 词：胰头肿瘤 壶腹部周围肿瘤 动脉入路 动脉优先离断 胰十二指肠切除术 腹腔镜检查 

分 类 号：R656[医药卫生—外科学]