微创胰十二指肠切除术：从腹腔镜到达芬奇机器人手术系统

Minimally invasive pancreaticoduodenectomy： from laparo- scopic surgery to Da Vinci robotic surgical system

自1994年第l例腹腔镜胰十二指肠切除术至2003年首次报道达芬奇机器人手术系统辅助胰十二指肠切除术的开展，微创胰十二指肠切除术经过20年的探索、发展，在争议和疑惑中取得了突破性的进展。微创胰十二指肠切除术在国内外一些大的医疗中心已成为治疗壶腹部周围肿瘤的常规治疗手术方式，并出现单中心100例以上的报道，以及与开腹胰十二指肠切除术大宗病例的近、远期疗效的对比研究报道。研究者及时更新腹腔镜和达芬奇机器人手术系统行胰十二指肠切除术的理念，总结经验和进展，有助于其普及和推广，从而造福患者。

From the first Laparoscopic pancreaticoduo- denectomy （LPD） in 1994 to the first Da Vinci robotic pancreat- icoduodenectomy（RPD） in 2003, minimally invasive pancreati- coduodeneetomy has achieved a breakthrough after 20-year explo- ration and development. It is a well-established procedure for periampullary carcinomas in some specialized centers now. Some outstanding reports including large clinical trials more than 100 cases of L/RPD in a single center and review analysis about the short and long outcomes between I_/RPD and open PD for large cases have been published. For the sake of increasing popularity and acceptance of L/RPD, it is very important for researchers to update the current status of L/RPD and summarize experience and development.