[Developing laparoscopic pancreaticoduodenectomy step by step].

Laparoscopic pancreaticoduodenectomy (LPD) is one of the most complicated operations in laparoscopic field.After been widely reported nowadays, LPD has been cautiously regarded as feasible and safe for radically resection.At present, several large pancreatic surgery centers in China have successively carried out this kind of surgery, with over one thousand cases in all.However, partly due to its complexity and steep learning curve, this procedure only remains limited to a few selected large pancreatic centers.Large sample prospective random control test studies are still required.We suggest that in China, LPD should only be developed steadily and step by step by highly skilled open and laparoscopic surgeons who have minimally invasive concept, contrary to fears and could grasp technical expertise.腹腔镜胰十二指肠切除术(LPD)是目前最复杂、难度最大的微创手术之一。近年来，有关LPD的报道日益增多，其安全性、可行性和对肿瘤的根治效果已得到初步证实。目前国内主要的胰腺外科中心已相继开展此项工作，累计病例超过千例。但目前尚缺乏相关的大样本前瞻性多中心随机对照研究，且LPD的学习曲线较长，因此，准备开展此项工作的胰腺外科医师应具备丰富的开放手术经验和娴熟的腹腔镜操作技能，还需具备微创理念、克服恐惧心理和掌握技术难点，积极稳妥、循序渐进地开展腹腔镜胰十二指肠切除术。.