腹膜后良性肿瘤的诊治与前入路微创手术探索

Diagnosis and treatment of retroperitoneal benign tumors and exploration of anterior approach mini-invasive surgery

近年来,腹腔镜/机器人胰十二指肠切除术、肝门胆管癌根治术、解剖性肝切除术等一系列腹部外科的超高难度技术的突破与成熟,标志着微创理念在肝胆胰外科领域的普及与成功。在此基础上,肝胆胰微创外科的研究领域也进一步辐射到了腹膜后空间。目前由肝胆胰外科医师主导的经腹腔前入路微创治疗腹膜后肿瘤的临床研究正在广泛探索开展中,该文结合四川大学华西医院肝脏外科、肝移植中心前入路微创手术治疗腹膜后良性肿瘤的实践经验,聚焦和述评该领域的研究现状与进展。

With recent breakthrough and continuous maturity of a series of ultra-difficult techniques in abdominal surgery,such as laparoscopic/robotic pancreaticoduodenectomy,radical resection of hilar cholangiocarcinoma and anatomical hepatectomy,it marks the popularization and success of mini-invasive concept for hepatobiliary and pancreatic surgery.On this basis,research domain of hepatobiliary and pancreatic mini-invasive surgery has further expanded to vast retroperitoneal space.Currently hepatobiliary and pancreatic surgeons are exploring mini-invasive procedures for retroperitoneal tumors through a pre-abdominal approach.Based upon our practical experiences of mini-invasive surgery for retroperitoneal benign tumors via an anterior approach,this review focused upon current status and recent advances.