腹腔镜胰十二指肠切除术的技术难点与对策

随着微创技术的发展，腹腔镜胰十二指肠切除术越来越受到重视。但是该术式并发症多且死亡率高，而且术式复杂．学习曲线长．其发展远落后于胃肠肿瘤的微创手术。由于胰腺周围解剖复杂，处于腹膜后，位置深，切除吻合技术困难．所以腹腔镜胰十二指肠切除术的报道不多．能开展该项手术的医疗中心仍寥寥可数。本文从腹腔镜胰十二指肠切除术的难点出发，结合个人的经验谈谈体会。

Laparoscopic pancreaticoduodenectomy: difficulties and solution

With the development of minimally invasive techniques, laparoscopic pancreaticoduodenectomy has been gaining increasing recognition in recent years, but it is still associated with a relatively high morbidity and mortality compared with surgeries for gastrointestinal carcinoma, and its practice has highly complex procedure and longer learning curve. This is a result of the complex nature of the organ, the difficult access as a result of the retroperitoneal position and the number of technically challenging anastomoses required. We try to find the solution for the surgical difficulties encountered with laparoscopie pancreaticoduodenectomy.