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中华腔镜外科杂志(电子版) ›› 2025, Vol. 18 ›› Issue (05) : 311 -315. doi: 10.3877/cma.j.issn.1674-6899.2025.05.011

综述

微创技术在根治性顺行模块化胰脾切除术中的应用现状与突破
唐卫平1, 陈国栋1,2,()   
  1. 1421001 衡阳,南华大学附属第一医院肝胆胰外科
    2838000 吐鲁番人民医院普外科
  • 收稿日期:2025-07-15 出版日期:2025-10-30
  • 通信作者: 陈国栋
  • 基金资助:
    南华大学临床医学研究"4310"计划项目(20224310NHYCG01); 中央引导地方科技发展资金项目(ZYYD2024CG17); 2024年湖南省创新生态建设计划科技援疆项目(2024WK4008); 南华大学附属第一医院医工交叉研究专项(IRP-ME-2025-08); 湖南省卫生健康委员会课题(202202054239)

Analysis of the current application status and innovative path of minimally invasive techniques in radical antegrade modular pancreatosplenectomy

Weiping Tang1, Guodong Chen1,2,()   

  1. 1Department of Hepatopancreatobiliary Surgery, The First Affiliated Hospital of University of South China, Hengyang 421001, China
    2General Surgery Department of Turpan People′s Hospital, 838000, China
  • Received:2025-07-15 Published:2025-10-30
  • Corresponding author: Guodong Chen
引用本文:

唐卫平, 陈国栋. 微创技术在根治性顺行模块化胰脾切除术中的应用现状与突破[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(05): 311-315.

Weiping Tang, Guodong Chen. Analysis of the current application status and innovative path of minimally invasive techniques in radical antegrade modular pancreatosplenectomy[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2025, 18(05): 311-315.

微创技术已成胰腺外科治疗的重要发展方向,根治性顺行模块化胰脾切除术(radical antegrade modular pancreatosplenectomy,RAMPS)通过标准化肾前筋膜/肾上腺解剖平面和顺向模块化切除,显著提升远端胰腺切除术(distal pancreatectomy,DP)的肿瘤根治效果,但仍面临器械限制以及淋巴结清扫范围界定等核心挑战。本文基于多中心循证证据,并结合南华大学附属第一医院肝胆胰外科以往的手术经验,从研究现状、关键技术争议与未来突破三大方面进行系统阐述,旨在为微创RAMPS的规范化推广提供理论依据与临床决策框架,并推动前瞻性研究验证机器人辅助技术的肿瘤学获益。

Minimally invasive techniques have emerged as a dominant trend in surgical management of pancreatic tumors. Radical antegrade modular pancreatosplenectomy (RAMPS), by standardizing dissection along the renal fascia/adrenal plane and employing an antegrade modular resection approach, significantly improves oncological outcomes in distal pancreatectomy (DP) for pancreatic cancer. However, it still has core challenges such as instrumental limitations and controversies regarding the optimal lymphadenectomy extent. Based on multicenter evidence and our institutional surgical experience, this article systematically addresses three key aspects: the current research status, critical technical controversies, and future technological innovations. To provide a theoretical basis and clinical decision-making framework for the standardized implementation of minimally invasive RAMPS, promote prospective studies validating the oncological benefits of robotic-assisted technology.

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