腹腔镜胰腺中段切除术的现状

曹阳; 刘达人; 李江涛

doi:10.3969/j.issn.1001-5256.2017.04.012

腹腔镜胰腺中段切除术的现状

DOI: 10.3969/j.issn.1001-5256.2017.04.012

浙江大学医学院附属第二医院外科

基金项目:

基金项目:2015年浙江省卫生高层次创新人才培养工程；

详细信息

中图分类号: R735.9
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出版历程
- 出版日期: 2017-04-20

Current status of laparoscopic central pancreatectomy

Department of Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine

Research funding:

摘要

摘要:
胰腺中段切除术是治疗胰腺颈部及近端体部良性或低度恶性肿瘤较为理想的手术方式,可有效保留更多的正常胰腺组织,以减少术后胰腺内、外分泌功能不全的发生。多项临床研究已证实了该术式的可行性和安全性,但由于操作技术难度较大,手术完成例数并不多。回顾了腹腔镜胰腺中段切除术的研究现状,并介绍笔者团队开展腹腔镜胰腺中段切除及胰肠吻合术的临床经验。
- 胰腺肿瘤 /
- 胰腺切除术 /
- 腹腔镜检查
Abstract:
Central pancreatectomy is an ideal surgical procedure for the treatment of benign or low-grade malignant tumors in the pancreatic neck or the proximal body of the pancreas, and it can preserve more normal pancreatic tissue in order to reduce the incidence of endocrine and exocrine insufficiency after surgery. Although some clinical studies have demonstrated the feasibility and safety of this procedure, laparoscopic central pancreatectomy was technically challenging with a few number of cases. This article reviews the current status of laparoscopic central pancreatectomy and introduces our clinical experience of laparoscopic central pancreatectomy and pancreaticojejunostomy.
- pancreatic neoplasms /
- pancreatectomy /
- laparoscopy

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参考文献(30)

[1]FINNEY JM.Resection of the pancreas:report of a case[J].Ann Surg, 1910, 51 (6) :818-829.

[2]YASUDA H, TAKADA T, TOYOTA N, et al.Limited pancreatectomy:significance of postoperative maintenance of pancreatic exocrine function[J].J Hepatobiliary Pancreat Surg, 2000, 7 (5) :466-472.

[3]SAUVANET A, PARTENSKY C, SASTRE B, et al.Medial pancreatectomy:a multi-institutional retrospective study of 53 patients by the French Pancreas Club[J].Surgery, 2002, 132 (5) :836-843.

[4]XU SB, ZHU YP, ZHOU W, et al.Patients get more long-term benefit from central pancreatectomy than distal resection:a metaanalysis[J].Eur J Surg Oncol, 2013, 39 (6) :567-574.

[5]WARSHAW AL, RATTNER DW, FERNANDEZ-DEL CASTILLO C, et al.Middle segment pancreatectomy:a novel technique for conserving pancreatic tissue[J].Arch Surg, 1998, 133 (3) :327-331.

[6]BACA I, BOKAN I.Laparoscopic segmental pancreas resection and pancreatic cystadenoma[J].Chirurg, 2003, 74 (10) :961-965.

[7]SA CUNHA A, RAULT A, BEAU C, et al.Laparoscopic central pancreatectomy:single institution experience of 6 patients[J].Surgery, 2007, 142 (3) :405-409.

[8]ROTELLAR F, PARDO F, MONTIEL C, et al.Totally laparoscopic Roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy:a consecutive nine-case series at a single institution[J].Ann Surg, 2008, 247 (6) :938-944.

[9]SENTHILNATHAN P, GUL SI, GURUMURTHY SS, et al.Laparoscopic central pancreatectomy:our technique and long-term results in14 patients[J].J Minim Access Surg, 2015, 11 (3) :167-171.

[10]CHEN XM, ZHANG Y, SUN DL.Laparoscopic central pancreatectomy for solid pseudopapillary tumors of the pancreas:our experience with ten cases[J].World J Surg Oncol, 2014, 12:312.

[11] SONG KB, KIM SC, PARK KM, et al.Laparoscopic central pancreatectomy for benign or low-grade malignant lesions in the pancreatic neck and proximal body[J].Surg Endosc, 2015, 29 (4) :937-946.

[12] ZHANG R, XU X, YAN J, et al.Laparoscopic central pancreatectomy with pancreaticojejunostomy:preliminary experiencewith 8 cases[J].J Laparoendosc Adv Surg Tech A, 2013, 23 (11) :912-918.

[13]DOKMAK S, AUSSILHOU B, FTERICHE FS, et al.Purelaparoscopic middlepancreatectomy:single-center experience with 13 cases[J].Surg Endosc, 2014, 28 (5) :1601-1606.

[14]MACHADO MA, SURJAN RC, EPSTEIN MG, et al.Laparoscopic centralpancreatectomy:a review of 51 cases[J].Surg Laparosc Endosc Percutan Tech, 2013, 23 (6) :486-490.

[15]GIULIANOTTI PC, SBRANA F, BIANCO FM, et al.Robot-assisted laparoscopic pancreatic surgery:single-surgeonexperience[J].Surg Endosc, 2010, 24 (7) :1646-1657.

[16]GIULIANOTTI PC, SBRANA F, BIANCO FM, et al.Robot-assisted laparoscopic middle pancreatectomy[J].J Laparoendosc Adv Surg Tech A, 2010, 20 (2) :135-139.

[17]ABOOD GJ, CAN MF, DAOUADI M, et al.Robotic-assisted minimally invasive central pancreatectomy:technique and outcomes[J].J Gastrointest Surg, 2013, 17 (5) :1002-1008.

[18]KANG CM, KIM DH, LEE WJ, et al.Initial experiences using robot-assisted central pancreatectomy with pancreaticogastrostomy:a potential way to advanced laparoscopic pancreatectom[J].Surg Endosc, 2011, 25 (4) :1101-1106.

[19]CHENG K, SHEN BY, PENG CH, et al.Initial experiences in robot-assisted middle pancreatectomy[J].HPB (Oxford) , 2013, 15 (4) :315-321.

[20]KIM DH, KANG CM, LEE WJ, et al.Roboticcentral pancreatectomy with pancreaticogastrostomy (transgastric approach) in a solid pseudopapillary tumor of the pancreas[J].Hepatogastroenterology, 2011, 58 (110-111) :1805-1808.

[21]CHEN S, ZHAN Q, JIN JB, et al.Robot-assisted laparoscopic versus openmiddlepancreatectomy:short-term results of a randomized controlled trial[J].Surg Endosc, 31 (2) :962-971.

[22]IACONO C, BORTOLASI L, SERIO G.Indications and technique of central pancreatectomy-early and late result[J].Langenbecks Arch Surg, 2005, 390 (3) :266-271.

[23]CRIPPA S, BASSI C, WARSHAW AL, et al.Middle pancreatectomy:indications, short-and long-term operative outcomes[J].Ann Surg, 2007, 246 (1) :69-76.

[24]ZHANG RC, XU XW, ZHOU YC, et al.A rare case of mixed mucinous cystadenoma with serous cystadenoma of the pancreas treated by Laparoscopic central pancreatectomy[J].World J Surg Oncol, 2014, 12:318.

[25]JIANG CY, WANG W.Initial experience in total laparoscopic central pancreatectomy with pancreatogastrostomy[J].Cell Biochem Biophys, 2015, 71 (2) :1023-1028.

[26]VILLACRESES DE, STAUFFER JA, HORACIO J, et al.Laparoscopic central pancreatectomy for insulinoma[J].J Visc Surg, 2016, 153 (6) :473-474.

[27]SCHWARZ L, FLEMING J, KATZ M, et al.Total laparpscopic central pancreatectomy with pancreaticogastrostomy for high-risk cystic neoplasm[J].Ann Surg Oncol, 2016, 23 (3) :1035.

[28]IACONO C, BORTOLASI L, FACCI E, et al.The Dagradi-Serio-Iacono operation central pancreatectomy[J].J Gastrointest Surg, 2007, 11 (3) :364-376.

[29]HONG DF, XIN Y, CAI XJ, et al.Application of binding pancreatogastrostomy in laparoscopic central pancreatectomy[J].World J Surg Oncol, 2012, 10:223.

[30] HONG DF, LIU YB, PENG SY, et al.Binding pancreatogastrostomy in laparoscopic central pancreatectomy:a novel technique in laparoscopic pancreatic surgery[J].Surg Endosc, 2016, 30 (2) :715-720.

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