医学
胰十二指肠切除术
剖腹手术
普通外科
腹腔镜手术
胰腺
腹腔镜检查
外科
内科学
出处
期刊:PubMed
日期:2017-05-01
卷期号:55 (5): 335-339
被引量:5
标识
DOI:10.3760/cma.j.issn.0529-5815.2017.05.004
摘要
Laparoscopic pancreaticoduodenectomy (LPD) is a minimally invasive approach for Whipple by total or assistant laparoscopic techniques. The results of feasibility, safety, short and long outcomes have slowly been gaining acceptance over the past decade. Aim to further adapt to the development trend, improve the safety and oncologic outcomes, promote the standardized development of LPD in China, four pancreas surgery groups in China wrote this LPD consensus. The consensus includes seven sections: operator request, indications and contraindications, preoperative preparation and anesthesia, equipment and instruments, positioning of patient and trocars, abdominal pressure, indications of conversion to laparotomy, postoperative observation and treatment. Furthermore, recommended operation process and main steps were attached. The consensus will help surgeons, who have performed or ready to carry out, to make reasonable decisions in their clinical practice.腹腔镜胰十二指肠切除术(LPD)是应用腹腔镜技术完成或辅助完成的胰十二指肠切除手术。经历20余年的发展,LPD的可行性、安全性和近期及远期治疗效果得到了人们的认可。为了进一步适应LPD的发展趋势,提高我国LPD的安全性及肿瘤切除的彻底性,促进该术式在我国的规范化发展,国内4个胰腺学组联合编写了LPD专家共识。该共识从手术人员配备,手术适应证和禁忌证,术前准备和麻醉方式,手术设备和器械,患者体位、气腹压力、操作孔位置,中转开腹手术指征,手术后观察与处理7个方面提出了建议,并对LPD的手术操作流程提出了推荐性意见,以供正在开展或准备开展LPD的医师参考。.
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