不断推进中国腹腔镜胰腺癌手术规范化

Promoting the standardization of laparoscopic surgery for pancreatic cancer in China continuously

随着微创理念的发展与腔镜器械的革新,我国腹腔镜胰腺手术不断突破禁区,在安全性与可行性方面已达到与开腹手术同样的效果,然而,胰腺癌常伴有周围组织浸润、淋巴结侵袭以及血管侵犯,其手术难度显著增加,微创手术效果仍存争议。因此,笔者从手术指征把握、肿瘤根治性、远期预后等相关方面提出自己的观点,以期全面推动我国腹腔镜胰腺癌手术的规范化进程。

With the development of the concept of minimally invasive surgery and the innovation of endoscopic instruments,laparoscopic surgery for pancreatic cancer has continuously made great breakthroughs in China,in which it has achieved similar results in comparison to open surgery in terms of safety and feasibility.However,pancreatic cancer is often accompanied by the infiltration of surrounding tissue and the invasion of peripheral lymph node or blood vessel that significantly increases the difficulty of operation,for which it is still remains controversial in terms of the efficacy of minimally invasive surgery.Therefore,in order to promote the standardization of laparoscopic surgery for pancreatic cancer on the whole,the author put forward some viewpoints from the aspects of selection of operation indication,radical resection of tumor and long-term outcome et al.