环血管技术在胰十二指肠切除术中的应用  

Application of circumvascular technique in pancreaticoduodenectomy

作　　者：刘荣[1] 刘渠[1,2] 赵国栋[1] 赵之明[1] 高元兴[1] 尹注增[1] LIU Rong;LIU Qu;ZHAO Guodong;ZHAO Zhiming;GAO Yuanxing;YIN Zhuzeng(Faculty of Hepatopancreatobiliary Surgery,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Organ Transplantation,the Third Medical Center,Chinese PLA General Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第一医学中心肝胆胰外科医学部,北京100853 [2]解放军总医院第三医学中心器官移植科,北京100039

出　　处：《解放军医学院学报》2022年第11期1109-1112,共4页Academic Journal of Chinese PLA Medical School

摘　　要：为了提高胰十二指肠切除术的R0切除率,提前评估手术可切除性,学者们提出了“动脉优先”“钩突先行”等手术入路理念。由于胰头解剖结构复杂、技术难度较高,这些手术入路目前只在较大的胰腺疾病治疗中心采用。为了提高胰十二指肠恶性肿瘤切除的彻底性,进一步规范胰十二指肠切除手术标准,笔者提出了“环血管技术”,本文详细阐述了该手术技术和具体操作方法,使复杂手术简单化,有助于缩短术者的学习曲线,让更多医生能够掌握这项技术,更多的患者能够从手术中获益。In order to improve the R0 resection rate of pancreaticoduodenectomy(PD)and to assess the resectability in advance,researchers have proposed the concepts of the surgical approaches such as“artery first”and“uncinate process first”.Due to the complex anatomy of the head of pancreas and the high technical difficulty,these surgical approaches are currently applied only in large centers for pancreatic diseases.In order to improve the radicality of malignant pancreaticoduodenal tumor resection and further standardize the surgical criteria for pancreaticoduodenectomy,the authors have proposed the“circumvascular technique”.This article elaborates on this surgical technique and its detailed operation methods,so as to simplify complex surgeries,shorten the learning curve of surgeons,help more surgeons master this technique,and enable more patients to benefit from this surgery.

关 键 词：胰十二指肠切除 环血管切除 动脉优先 钩突先行 肿瘤切除 

分 类 号：R657.5[医药卫生—外科学]