腹腔镜胰十二指肠切除术的个体化策略

腹腔镜胰十二指肠切除术(LPD)的安全性及有效性已逐步得到国内众多学者的认可,并有望成为壶腹周围肿瘤的标准术式。本单位是国内最早开展LPD的单位之一,经过长期的经验积累,根据不同患者的实际情况选择个体化的手术治疗策略,并逐渐形成具有自己特色的程序化手术流程,此手术流程设计充分发挥了腔镜的优势,遵循由下到上、由前到后、由左到右的手术切除顺序,有效优化手术中的操作细节,充分的利用每一个暴露好的手术野,减少了不必要的重复术野暴露,在保证手术质量的同时能明显缩短手术时间。

The Individualized Strategy of Laparoscopic Pancreaticoduodenectomy

The safety and availability of laparoscopic pancreaticoduodenectomy have gradually been accepted by many surgeons in China, and it is expected to be the standard operation for periampullary tumors. Our center is one of the earliest units to perform LPD in China. After long term accumulation of experience, individualized surgical treatment strategy is selected according to the actual situation of different patients, and at the same time programmed operation process with self characteristic is gradually formed. Following the order of "bottom to top, front to back, left to right" , This process fully exerts the advantages of the endoscope, which effectively optimize the operation details, make full use of each exposed surgical field, reduce unnecessary repeated field exposure, and shorten the operation time while ensuring the quality of the operation.