胰十二指肠切除术的应用现状及进展

Application status and progress of pancreaticoduodenectomy

胰十二指肠切除术作为普通外科最复杂、最具挑战性的手术,也是治疗胰头、壶腹周围肿瘤的经典术式。随着医疗技术及医疗器械的不断改进,微创技术在胰十二指肠切除术中应用愈发广泛,但也存在着诸多争议。本文主要结合笔者团队经验及国内外文献对开腹、腹腔镜及机器人胰十二指肠切除术3种不同手术方式的临床应用现状及研究进展作一综述,从而为把握手术适应证、制定个体化治疗策略提供参考。

As the most complicated and challenging operation in general surgery,pancreaticoduodenectomy is also a classic operation for the treatment of pancreatic head and periampullary tumors.With the continuous improvement of medical technology and medical instruments,minimally invasive technology is increasingly widely used in pancreaticoduodenectomy,but there are many controversies.In this paper,the clinical application and research progress of open,laparoscopic and robotic pancreaticoduodenectomy were reviewed based on the experience of author′s team and domestic and foreign literatures,so as to provide reference for grasping surgical indications and formulating individualized treatment strategies.