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胰腺微创手术的现状和发展趋势

State-of-the-Art and Development Trends of Minimally Invasive Pancreatic Surgery

  • 摘要: 微创手术与传统手术相比,具有并发症少、术后恢复快等优势,因此,现代外科手术向着微创化发展。而胰腺微创手术难度极高,发展相对缓慢,目前微创手术仅在大型胰腺手术中心开展,各个中心的手术流程存在一定的差异,手术耗时长,手术效果也不同。本专题将以文章加视频的形式,总结作者长期在腹腔镜及机器人胰腺手术临床实践中的经验及技术,为读者介绍流程优化的腹腔镜胰十二指肠切除术(LPD),解读各胰腺手术的难点,展示胰腺困难手术的操作技巧和关窍,结合国内外最新研究结果,对未来该领域的发展提出若干建议和展望,以期更好地在国内推动胰腺微创技术的发展,让更多患者(尤其是胰腺肿瘤患者)受益。

     

    Abstract: Compared with traditional surgery, minimally invasive surgery has the advantages of less complications and quick postoperative recovery. Therefore, modern surgery is developing towards the direction of minimally invasive. while minimally invasive pancreatic surgeries are rather challenging and develop slowly, due to the limits with different operation techniques, long operation time and different operation outcomes, which are only carried out in high-volume pancreatic surgery centers. This special coverage topic will elaborate our long-term experience and the key points to overcome the operational difficulties in laparoscopic and robotic pancreas surgery. In order to promote the development of minimally invasive pancreatic technology and benefit more patients (especially pancreatic cancer patients), some suggestions and prospects with the latest research results at home and abroad are put forward for the future development of this field.

     

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