摘要
保留十二指肠的胰头切除术是一种针对胰头部良性或低度恶性肿瘤、胰头部胰管结石、慢性胰腺炎等病变的手术方式。与传统的胰十二指肠切除术相比,其核心理念是通过保留胃、十二指肠、胆道的完整性,减少术后消化功能紊乱和代谢并发症,从而改善患者的生活质量。随着腹腔镜技术的不断发展,腹腔镜下保留十二指肠的胰头切除术逐渐成为传统胰十二指肠切除术的重要改进方案,真正实现腹腔镜微创和保留器官功能的完美结合。笔者综合近年来发表的中英文文献,从腹腔镜下保留十二指肠的胰头切除术的手术适应证、技术要点、并发症管理、临床效果等方面进行系统性阐述。
Duodenum-preserving pancreatic head resection(DPPHR)is a surgical approach indicated for benign or low-grade malignant tumors of the pancreatic head,pancreatic duct stones in the pancreatic head,chronic pancreatitis,and related pathologies.Compared to traditional pancreaticoduodenectomy(PD),its core principle lies in preserving the integrity of the stomach,duodenum,and biliary tract,thereby reducing postoperative digestive dysfunction and metabolic complications to improve patients’quality of life.With the continuous advancement of laparoscopic techniques,laparoscopic duodenum-preserving pancreatic head resection(LDPPHR)has emerged as a significant refinement of conventional PD,achieving an optimal integration of minimally invasive laparoscopy and organ function preservation.This article synthesizes recent Chinese and English literature to provide a systematic review of surgical indications,technical nuances,complication management,and clinical outcomes of LDPPHR.
作者
孙丕绛
崔上
杨永君
冉超
SUN Pijiang;CUI Shang;YANG Yongjun;RAN Chao(Institute of Hepatopancreatobiliary Surgery,Chongqing General Hospital,Chongqing University,Chongqing 401147,P.R.China;Qingdao University Medical College,Qingdao 266071,P.R.China)
出处
《中国普外基础与临床杂志》
2025年第2期152-155,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
腹腔镜下保留十二指肠的胰头切除术
胰头良性肿瘤
胰头低度恶性肿瘤
胰头部结石
慢性胰腺炎
laparoscopic duodenum-preserving pancreatic head resection
benign pancreatic head tumor
lowgrade malignant pancreatic head tumor
pancreatic head stone
chronic pancreatitis
