中国腹腔镜胰腺癌手术需要注意的几个问题

近年来,腹腔镜胰腺癌手术在我国发展迅猛,但存在不同地区间发展不够均衡、操作不够规范等问题。我们应该根据所处的学习曲线、所在机构的硬件条件、患者的自身情况、术者经验及团队配合等因素严格的掌握手术指征。同时,应遵循以根治性为目的的肿瘤治疗原则,确定合理的手术范围。还应根据病变的大小、所处的部位及与周围血管的关系等综合考量,采取适当的手术入路。随着规范化程度的提高,腹腔镜胰腺癌手术会为患者带来更多的获益。

Several problems needed attention in laparoscopic surgery for pancreatic cancer in China

In recent years,laparoscopic surgery for pancreatic cancer has developed rapidly in China,but there are problems such as unbalanced development among different regions and unstandardized operations. We should strictly grasp the surgical indications according to the learning curve,the hardware conditions of the institution,the patient’s own situation,the experience of the surgeon,and the team cooperation. At the same time,the principles for treatment of malignant tumor should be followed,and the reasonable scope of surgery should be determined for the purpose of radical treatment. The size of the lesion,the location and the relationship with the surrounding blood vessels should also be considered comprehensively,and an appropriate surgical approach should be adopted. With the improvement of standardization,laparoscopic pancreatic cancer surgery will bring more benefits to patients.