保留功能的腹腔镜胰头部及十二指肠乳头肿瘤切除手术  

Function-preserving laparoscopic resection of pancreatic head and duodenal papilla tumors

作　　者：高攀[1] 蔡云强[1] 彭兵[1] GAO Pan;CAI Yunqiang;PENG Bing(Department of Pancreatic Surgery,West China Hospital,Sichuan University,Sichuan Chengdu 610041,China)

机构地区：[1]四川大学华西医院胰腺外科,四川成都610041

出　　处：《外科理论与实践》2023年第3期190-196,共7页Journal of Surgery Concepts & Practice

基　　金：四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(2018HXFH015);四川省科技厅项目(2021YFS0110);国家卫生健康委员会医药卫生科技发展研究中心(W2017ZWS07)。

摘　　要：近年来,随着微创器械、设备的发展和手术技术的进步,胰腺微创外科进入快速发展阶段。包括腹腔镜保留十二指肠的胰头切除术、腹腔镜胰头部肿瘤局部剜除术以及腹腔镜十二指肠乳头局部切除术等保留功能的腹腔镜胰头部及十二指肠乳头肿瘤切除手术也得到逐步开展。但这些术式技术难度大、解剖复杂,很多外科医师缺乏相应的治疗经验,目前开展较少,尚未普及。本文探讨保留功能的腹腔镜胰头部及十二指肠乳头肿瘤切除手术的发展现状及相关技术问题,以提出相应对策,便于技术推广和发展。In recent years,with the development of minimally invasive instruments,equipment and the progress ofsurgical techniques,minimally invasive pancreatic surgery has entered an era of rapid development.Function-preservinglaparoscopic resection of pancreatic head and duodenal papilla tumors including laparoscopic duodenum-preserving pan-creatic head resection(LDPPHR),laparoscopic pancreatic head tumor enucleation and laparoscopic transduodenal ampul-lary resection(LTDAR) have also been used in clinical practice.However,the anatomy and surgical procedures are ex-tremely complicated.Many surgeons lack the experience in this field.So far,these procedures have rarely used in clinicalpractice.In this article,we introduced the current status,problems and countermeasures of these surgical procedures,topromote the development of function-preserving laparoscopic pancreatic head and duodenal papilla tumor resection surgery.

关 键 词：保留功能 腹腔镜手术 胰头部肿瘤 十二指肠乳头肿瘤 

分 类 号：R735.31[医药卫生—肿瘤] R735.9[医药卫生—临床医学]