Abstract:

Objective

To standardize and promote the clinical application of pancreatic duct(repair) surgery for benign and borderline/low-grade malignant pancreatic tumors, thereby improving surgical outcomes and reducing complications, this expert consensus was formulated.

Methods

Organized by the Minimally Invasive Surgery Committee and Intelligent Medicine Committee of the Chinese Research Hospital Association, domestic pancreatic surgery experts discussed key topics including pancreatic duct anatomy, repair concepts, surgical indications, preoperative evaluation, intraoperative techniques, and postoperative management, integrating literature evidence and clinical experience.

Results

The consensus delineates core techniques of pancreatic duct repair surgery, such as main pancreatic duct repair, end-toend pancreatic anastomosis, main pancreatic duct replacement, and branch-duct intraductal papillary mucinous neoplasm (BD-IPMN) local resection. It emphasizes preoperative multimodal imaging evaluation,intraoperative ultrasound guidance, and minimally invasive approaches. Recommendations include selecting repair strategies based on duct injury severity, standardized use of pancreatic stents, and postoperative pancreatic fistula prevention protocols.

Conclusion

Pancreatic duct (repair) surgery restores duct continuity, avoids traditional gastrointestinal reconstruction, and significantly reduces postoperative complications. It represents a major advancement in organ-preserving pancreatic surgery. Further studies are needed to validate long-term efficacy and refine technical details.

Key words: Pancreatic duct repair, Pancreatic surgery, Expert consensus, Robotic surgery