胰头癌腹腔镜切除的现状及展望

Current status and prospect of laparoscopic surgery for pancreatic head cancer

胰腺癌是所有常见恶性肿瘤中预后最差者,5年生存率仅约5%,根治性切除仍然是可切除胰腺癌首选的治疗方式,胰十二指肠切除术是治疗胰头癌的标准术式。近年来,腹腔镜技术在外科领域的应用越来越广泛,但腹腔镜下胰十二指肠切除术因其安全性一直存在争议,而对胰头癌实施腹腔镜下胰十二指肠切除术要比对其他疾病如壶腹部与胆总管下段占位、胰头低度恶性肿瘤等要困难的多,加之对腹腔镜技术增加恶性肿瘤播散风险的疑虑,对胰头癌实施腹腔镜切除所受质疑更多。我们结合自身开展腹腔镜治疗胰头癌的经验,对目前腹腔镜治疗胰头癌的现状进行分析。

Pancreatic cancer is one of the most aggressive of solid malignancies with a 5 year survival rate of only about 5%.Radical resection is still the best choice for resectable pancreatic cancer,and pancreaticoduodenectomy is the standard procedure for pancreatic head cancer.Recently,laparoscopic surgery are used widely.However,there are controversies on the laparoscopic pancreaticoduodenectomy(LPD)for patient safety.For pancreatic head cancer,the LPD was questioned for both patient safety and feasibility of laparoscopic surgery for malignancy.In this review,the authors stated the current status and prospect the future of LPD for pancreatic head caner with their own experiences.