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中华腔镜外科杂志(电子版) ›› 2026, Vol. 19 ›› Issue (01) : 49 -55. doi: 10.3877/cma.j.issn.1674-6899.2026.01.010

综述

胰十二指肠切除术微创治疗的研究进展与争议
卓浚哲1, 王敏2,()   
  1. 1430030 武汉,华中科技大学同济医学院附属同济医院肝胆胰外科
    2100021 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胰胃外科
  • 收稿日期:2025-11-22 出版日期:2026-02-28
  • 通信作者: 王敏

Research progress and controversies in minimally invasive pancreaticoduodenectomy

Junzhe Zhuo1, Min Wang2,()   

  1. 1Department of Hepato-Pancreato-Biliary Surgery, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China
    2Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 100021, China
  • Received:2025-11-22 Published:2026-02-28
  • Corresponding author: Min Wang
引用本文:

卓浚哲, 王敏. 胰十二指肠切除术微创治疗的研究进展与争议[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(01): 49-55.

Junzhe Zhuo, Min Wang. Research progress and controversies in minimally invasive pancreaticoduodenectomy[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2026, 19(01): 49-55.

胰十二指肠切除术(pancreaticoduodenectomy,PD)是治疗胰头/颈部、壶腹周围恶性肿瘤的标准术式,其核心技术已形成广泛共识。然而PD术后易发生胰瘘等严重并发症,故当前研究焦点集中于如何优化手术细节以降低并发症风险。在此背景下,随着微创技术的普及,研究争议延伸至微创PD能否在围手术期安全性与长期肿瘤学上优于开腹手术。本文梳理PD关键技术进展,探讨上述争议,为临床手术决策提供参考,以期提高手术安全性与患者长期预后。

Pancreaticoduodenectomy (PD) is the standard surgical procedure for malignant tumors of the pancreatic head/neck and peripapillary region with well-established consensus on its core techniques. However, severe complications such as pancreatic fistula frequently develop postoperatively. Consequently, current research focuses on optimizing surgical techniques to mitigate the risk of complications. Against this background, the growing application of minimally invasive techniques has extended the debate to whether minimally invasive PD demonstrates superior perioperative safety and improved long-term oncologic outcomes compared with open surgery. This article reviews advancements in key PD techniques, discusses these controversies, and provides references for clinical surgical decision-making to improve surgical safety and long-term patient prognosis.

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[15] 颜军, 周强, 郭诗翔. 海德堡三角清扫在胰腺癌外科治疗中应用的系统评价[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(03): 449-455.
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