保留十二指肠、胆总管、Oddi’s括约肌的胰头整块全切除术(王氏手术)的手术要点及应用  

Surgical key points and applications of duodenum,common bile duct and Oddi’s sphincter-preserving pancreatic head total resection(DCOPPHTR,Wang’s procedure)

作　　者：杨永君 向吉锋 王槐志 YANG Yongjun;XIANG Jifeng;WANG Huaizhi(Institute of Hepatopancreatobiliary Surgery,Chongqing General Hospital,Chongqing University,Chongqing 401147,P.R.China)

机构地区：[1]重庆大学附属人民医院(重庆市人民医院)肝胆胰腺外科研究所,重庆401147

出　　处：《中国普外基础与临床杂志》2025年第2期143-147,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：重庆市技术创新与应用发展专项重点项目(编号:CSTB2022TIAD-KPX0170);重庆市科卫联合面上项目(编号:2022MSXM031)。

摘　　要：慢性胰腺炎,胰头良性、交界性及低度恶性肿瘤的外科治疗效果明确,如何保留更多的功能器官是此类手术的关注重点。笔者团队首创的保留十二指肠、胆总管、Oddi’s括约肌的胰头整块全切除术相较于其他术式具有理论上的优势,但因手术操作难度大,对术者要求更高而限制其广泛开展。笔者通过阐述该手术的发明原理和演变历程,解析关键步骤并展示临床效果,证明该手术安全有效,具有较高的临床应用价值。The surgical treatment of chronic pancreatitis,benign,borderline and low-grade malignant tumors of the pancreatic head is definite in effect.How to preserve more functional organs is the focus of such surgeries.The duodenum,common bile duct and Oddi’s sphincter-preserving pancreatic head total resection(DCOPPHTR)surgical method pioneered by the author team has theoretical advantages compared to other surgical methods.However,due to the difficulty of surgical operation and higher requirements for surgeons,its widespread application is limited.By elaborating on the invention principle and evolution process of this surgery,analyzing the key steps in detail and showing the clinical effects,the author proves that DCOPPHTR is safe and effective and has higher clinical application value.

关 键 词：慢性胰腺炎 保留十二指肠 胰头整块切除术 Oddi’s括约肌 胰头良性肿瘤 

分 类 号：R657.5[医药卫生—外科学]