腹腔镜技术在胰腺癌中的应用  

Application of laparoscopy in pancreatic cancer

作　　者：廖艳 成伟[1] Liao Yan;Cheng Wei(Department of Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital of Hunan Normal University(People's Hospital of Hunan Province),Changsha 410005,China)

机构地区：[1]湖南师范大学附属第一医院(湖南省人民医院)肝胆胰外科,长沙410005

出　　处：《中华肝脏外科手术学电子杂志》2024年第3期259-264,共6页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：湖南省卫生健康高层次人才项目;湖南省研究生科研创新项目(CX20220525);湖南省提高肝胆胰肠疾病诊治能力项目(湘卫[2019]118号);湖南省教育厅重点项目(21A0026)。

摘　　要：外科手术已逐渐向微创方向发展,腹腔镜技术也在外科手术中逐渐展开。而腹腔镜胰腺手术较其他腹腔镜手术开展相对较晚,原因主要在于胰腺位置深,血供丰富,显露困难等。随着微创技术的不断进步,腹腔镜手术已广泛应用于胰腺疾病的手术治疗中,相比开腹手术,腹腔镜手术具有明显的优势。目前腹腔镜技术在胰腺癌中的应用取得重大进展,其在胰腺癌切除术,胰腺癌的分期与活检和晚期姑息治疗中体现出了腹腔镜技术的微创优势,其安全性及有效性也得到了初步的证实。本综述分别从以下方面对腹腔镜技术在胰腺癌中的应用进行探讨。Surgery has gradually evolved in the direction of minimally invasive procedure,and laparoscopic technique has also been gradually employed in surgery.Compared with other laparoscopic surgeries,laparoscopic pancreatic procedures are adopted relatively later due to the deep location of the pancreas,abundant blood supply and difficult exposure,etc.With the development of minimally invasive techniques,laparoscopic surgery has been widely applied in the surgical treatment of pancreatic diseases,which has evident advantages compared with open surgery.At present,tremendous progress has been made in the application of laparoscopy in pancreatic cancer,illustrating the minimally invasive advantages of laparoscopy in pancreatic cancer resection,staging and biopsy of pancreatic cancer and late palliative treatment.In addition,the safety and efficacy have also been preliminarily validated.In this article,research progress in the application of laparoscopy in pancreatic cancer was reviewed from the following perspectives.

关 键 词：腹腔镜 胰腺肿瘤 腹腔镜根治性顺行模块化胰脾切除术 腹腔镜胰十二指肠切除术 

分 类 号：R735.9[医药卫生—肿瘤]