保留器官功能的胰腺切除术研究现状

Current research status of organ preserving pancreatectomy

经典的胰腺切除术多需同时切除胰腺组织周围脏器,其存在创伤大、疗程长和并发症较高的不足.为尽可能保留胰腺和胰周器官的功能,各种保留器官功能的胰腺切除术已广泛应用于胰腺良性或低度恶性肿瘤的治疗.保留器官功能的胰腺切除术主要包括肿瘤局部切除术、保留幽门的胰十二指肠切除术、保留十二指肠的胰头切除术、中段胰腺切除术、保留脾脏的胰体尾切除术等.近年来,随着微创技术的发展,腹腔镜和机器人保留器官功能胰腺切除术也相继在临床开展.本文就保留器官功能胰腺切除术式的研究现状作一综述.

Classic pancreatectomy procedures usually require resection of the pancreas and surrounding organs, having disadvantages of major trauma, long hospital stay and high morbidity. In order to preserve organ function as much as possible, many types of organ preserving pancreatectomy have been widely used in the treatment of benign pancreatic tumors and low-grade malignant lesions, including tumor enucleation, pylorus preserving pancreaticoduodenectomy, duodenum-preserving pancreatic head resection, middle segmental pancreatectomy, and spleen-preserving distal pancreatectomy. With the development of minimally invasive techniques in recent years, laparoscopic and robotic techniques have been also safely applied in organ preserving pancreatectomy. This article will review the current research status of organ preserving pancreatectomy.