胰头癌微创手术发展现状及热点问题探讨

Current status and hotspot of minimally invasive surgery for pancreatic head carcinoma

随着腹腔镜设备的改进及手术技术的提升,胰腺外科进入微创时代。然而,微创胰十二指肠切除术在胰头癌患者中的应用仍具争议。近年来,我国胰腺外科医师在手术技术方面已走在国际前列,但在手术理念、适应证选择、围手术期管理等方面仍需进一步加强。除此以外,我国各区域医疗水平发展严重不均衡,微创胰十二指肠切除术仍需进一步规范与普及。希望通过本文,与各位外科同道共同探讨胰头癌微创手术的发展现状及相关热点话题,以期进一步提升我国胰腺癌的规范诊治。

With the improvement of laparoscopic equipment and surgical technology,pancreatic surgery has entered the minimally invasive era.However,the use of minimally invasive pancreaticoduodenectomy in patients with pancreatic head cancer remains controversial.In recent years,China′s pancreatic surgeons have been at the forefront of the world in terms of surgical technology,however,surgical philosophy,selection of indication,and perioperative management should be further stregthened.Additionally,the development of medical standards in various regions of China is seriously uneven,and minimally invasive pancreaticoduodenectomy still needs to be further standardized and popularized.Through this article,the author discusses the development status of minimally invasive surgery for pancreatic head cancer and related hot topics with fellow surgeons,in order to further improve the standard diagnosis and treatment of pancreatic cancer in China.