A pancreas surgeon’s constant goal is to do"less damage,more radical".Currently,a small number of highly trained surgeons opt for single-incision laparoscopic pancreaticoduodenectomy(SILPD)or single-incisio...A pancreas surgeon’s constant goal is to do"less damage,more radical".Currently,a small number of highly trained surgeons opt for single-incision laparoscopic pancreaticoduodenectomy(SILPD)or single-incision plus one-port LPD(SILPD+1)to minimize post-operative pain,improve convalescence,and provide a more pleas-ing cosmetic outcome[1,2].Additionally,some skilled surgeons have claimed that laparoscopic duodenum-preserving complete pancreatic head resections(LDPPHR)result in less trauma and en-hanced quality of life[3,4].However,LDPPHR is still challenging because of its lengthy learning curve and"sword-fighting"impact.Additionally,there has not been any global reporting on the suit-ability of single-incision plus one-port DPPHR with pancreaticogas-trostomy(SILDPPHR-T+1)in place of SILPD+1.This study aimed to illustrate the SILDPPHR-T+1 procedure specifics for a patient with pancreatic head intraductal papillary mucinous neoplasm(IPMN)(main pancreatic duct type)(MD-IPMN).展开更多
Laparoscopic duodenum-preserving pancreatic head resection(LDPPHR)is an effective treatment for benign or low-grade malignant lesions of the pancreatic head,retaining the integrity of the biliary tract and duodenum,th...Laparoscopic duodenum-preserving pancreatic head resection(LDPPHR)is an effective treatment for benign or low-grade malignant lesions of the pancreatic head,retaining the integrity of the biliary tract and duodenum,thereby reducing the incidence of complications(1-3).Nevertheless,the procedure remains technically challenging,particularly in protection of the common bile duct(CBD)and inferior pancreatic duodenal arterial arcades which supply CBD and duodenum(4,5).展开更多
基金supported by grants from the National Natu-ral Science Foundation of China(81302161 and 82003103)the Science and Technology Department of Sichuan Province(2021YFS0375 and 2020YJ0450).
文摘A pancreas surgeon’s constant goal is to do"less damage,more radical".Currently,a small number of highly trained surgeons opt for single-incision laparoscopic pancreaticoduodenectomy(SILPD)or single-incision plus one-port LPD(SILPD+1)to minimize post-operative pain,improve convalescence,and provide a more pleas-ing cosmetic outcome[1,2].Additionally,some skilled surgeons have claimed that laparoscopic duodenum-preserving complete pancreatic head resections(LDPPHR)result in less trauma and en-hanced quality of life[3,4].However,LDPPHR is still challenging because of its lengthy learning curve and"sword-fighting"impact.Additionally,there has not been any global reporting on the suit-ability of single-incision plus one-port DPPHR with pancreaticogas-trostomy(SILDPPHR-T+1)in place of SILPD+1.This study aimed to illustrate the SILDPPHR-T+1 procedure specifics for a patient with pancreatic head intraductal papillary mucinous neoplasm(IPMN)(main pancreatic duct type)(MD-IPMN).
基金supported by the Noncommunicable Chronic Diseases-National Science and Technology Major Project[grant No.2024ZD0525400(2024ZD0525403)]the National Natural Science Foundation of China(grant No.82272132)+3 种基金the Guangdong Basic and Applied Basic Research Foundation(grant Nos.2023A1515110602 and 2024A1515012051)the Regional Joint Fund of Guangdong(Guangdong-Hong Kong-Macao Research Team Project)(grant No.2021B1515130003)the Key Research and Development Plan Project of Guangzhou(grant No.2023B03J1246)the China Postdoctoral Science Foundation(grant Nos.2022M721514 and 2024T170386).
文摘Laparoscopic duodenum-preserving pancreatic head resection(LDPPHR)is an effective treatment for benign or low-grade malignant lesions of the pancreatic head,retaining the integrity of the biliary tract and duodenum,thereby reducing the incidence of complications(1-3).Nevertheless,the procedure remains technically challenging,particularly in protection of the common bile duct(CBD)and inferior pancreatic duodenal arterial arcades which supply CBD and duodenum(4,5).
