努力提高腹腔镜胰十二指肠切除术的规范化水平

Continuously improve the standardization of laparoscopic pancreaticoduodenectomy

腹腔镜胰十二指肠切除术问世近三十年来,虽然一度饱受争议,但随着不断探索和技术进步,已能够获得不逊于开放手术的围手术期安全性和肿瘤根治性,逐步获得认可。在此基础上胰腺外科医生开始对腹腔镜胰十二指肠切除术的规范化作出新的探索。探讨手术学习曲线,帮助手术医生平稳度过学习曲线,保障手术安全。逐步扩展手术适应证,严格把控技术“边界”。规范手术操作方案,围绕腹腔镜胰十二指肠切除术的优势和劣势,改良切除和重建方案。不断提高腹腔镜胰十二指肠切除术的规范化,提高手术质量,保障患者安全。

Laparoscopic pancreaticoduodenectomy has been controversial for nearly 30 years,but with continuous exploration and technological progress,it has been able to obtain perioperative safety and radical tumor treatment that are not inferior to open surgery,and gradually gained recognition.On this basis,pancreatic surgeons began to make new exploration on the standardization of laparoscopic pancreaticoduodenectomy.To explore the learning curve of operation,to help the surgeon go through the learning curve smoothly and ensure the safety of operation.Gradually expand the surgical indications and strictly control the technical"boundary".Standardize the surgical procedure,improve the resection and reconstruction plan around the advantages and disadvantages of laparoscopic pancreaticoduodenectomy.To improve the standardization of laparoscopic pancreaticoduodenectomy,improve the surgical quality and ensure the safety of patients.