腹部无辅助切口经肛门取标本的全腹腔镜胰十二指肠切除术(附视频)

Transanal natural orifice specimen extraction laparoscopic pancreaticoduodenectomy without an auxiliary abdominal incision

经自然腔道取标本手术(NOSES)是一个新的发展领域,具有创伤小、良好的操作性及可行性等优势,作为一种新的微创手术方式,已逐渐应用于胃、结直肠肿瘤患者。然而,在胰腺手术,特别是最具挑战性的胰十二指肠切除术(PD)方面目前仍是一个空白。本手术为NOSES在胰十二指肠切除术中的临床应用,该手术的成功实施拓宽了NOSES的适用范围,为胰腺微创手术的发展提供了借鉴。

Natural orifice specimen extraction surgery(NOSES)is a new field of development with advantages of minimally invasive,good operability and feasibility.As a new minimally invasive method,it has been gradually applied to patients with gastric and colorectal tumors.However,there is still a gap in pancreatic surgery,especially the most challenging pancreaticoduodenectomy(PD).This procedure is the clinical application of NOSES in pancreaticoduodenectomy.The successful implementation broadens the scope of application of NOSES and provides a reference for the development of minimally invasive pancreatic surgery.