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腹腔镜左胰切除术:当前概念。

Laparoscopic left pancreatectomy: current concepts.

机构信息

University Surgical Unit, Southampton General Hospital, Southampton, United Kingdom.

出版信息

Pancreatology. 2013 Jul-Aug;13(4):443-8. doi: 10.1016/j.pan.2013.04.196. Epub 2013 Apr 26.

DOI:10.1016/j.pan.2013.04.196
PMID:23890145
Abstract

The minimally invasive approach has been slow to gain acceptance in the field of pancreatic surgery even though its advantages over the open approach have been extensively documented in the medical literature. The reasons for the reluctant use of the technique are manifold. Laparoscopic distal or left sided pancreatic resections have slowly become the standard approach to lesions of the pancreatic body and tail as a result of evolution in technology and experience. A number of studies have shown the potential advantages of the technique in terms of safety, blood loss, oncological and economic feasibility, hospital stay and time to recovery from surgery. This review aims to provide an overview of the recent advances in the field of laparoscopic left pancreatectomy (LLP) and discuss potential future developments.

摘要

尽管微创方法在胰腺外科领域的优势在医学文献中已有广泛记载,但它的接受程度仍然很慢。该技术使用不广泛的原因有很多。随着技术和经验的发展,腹腔镜远端或左侧胰腺切除术已逐渐成为胰腺体尾部病变的标准治疗方法。多项研究表明,该技术在安全性、出血量、肿瘤学和经济可行性、住院时间以及术后恢复时间等方面具有潜在优势。本文旨在综述腹腔镜胰体尾切除术(LLP)领域的最新进展,并探讨其潜在的未来发展方向。

相似文献

1
Laparoscopic left pancreatectomy: current concepts.腹腔镜左胰切除术:当前概念。
Pancreatology. 2013 Jul-Aug;13(4):443-8. doi: 10.1016/j.pan.2013.04.196. Epub 2013 Apr 26.
2
Robotic distal pancreatectomy: a valid option?机器人辅助远端胰腺切除术:一个可行的选择?
Minerva Chir. 2013 Oct;68(5):489-97.
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Laparoscopic versus open left pancreatectomy: can preoperative factors indicate the safer technique?腹腔镜与开腹左胰切除术:术前因素能否指示更安全的技术?
Ann Surg. 2011 May;253(5):975-80. doi: 10.1097/SLA.0b013e3182128869.
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The role of laparoscopic distal pancreatectomy in elderly patients.腹腔镜远端胰腺切除术在老年患者中的作用。
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[Pancreatic neuroendocrine tumour - laparoscopic distal pancreatectomy with splenectomy and partial gastric resection].[胰腺神经内分泌肿瘤 - 腹腔镜下远端胰腺切除术联合脾切除术及部分胃切除术]
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Current status of laparoscopic distal pancreatectomy.腹腔镜远端胰腺切除术的现状
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[Hepatic and pancreatic laparoscopic surgery].[肝脏和胰腺腹腔镜手术]
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Hand-assisted laparoscopic distal pancreatectomy with minilaparotomy for distal pancreatic cystadenoma.手辅助腹腔镜下经小切口行远端胰腺切除术治疗远端胰腺囊腺瘤
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Effect of differences in vascular anatomy on surgical outcomes of left pancreatectomy: a retrospective study.血管解剖差异对左半胰切除术手术结果的影响:一项回顾性研究
World J Surg Oncol. 2025 Feb 4;23(1):36. doi: 10.1186/s12957-025-03700-w.
2
Study International Multicentric Pancreatic Left Resections (SIMPLR): Does Surgical Approach Matter?国际多中心胰腺左半切除术研究(SIMPLR):手术方式重要吗?
Cancers (Basel). 2024 Mar 5;16(5):1051. doi: 10.3390/cancers16051051.
3
Learning Curves of Minimally Invasive Distal Pancreatectomy in Experienced Pancreatic Centers.
经验丰富的胰腺中心微创远端胰腺切除术的学习曲线。
JAMA Surg. 2023 Sep 1;158(9):927-933. doi: 10.1001/jamasurg.2023.2279.
4
Learning curves in laparoscopic distal pancreatectomy: a different experience for each generation.腹腔镜胰体尾切除术的学习曲线:每一代人都有不同的体验。
Int J Surg. 2023 Jun 1;109(6):1648-1655. doi: 10.1097/JS9.0000000000000408.
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Robot-Assisted Versus Laparoscopic Distal Pancreatectomy in Patients with Resectable Pancreatic Cancer: An International, Retrospective, Cohort Study.机器人辅助与腹腔镜下胰体尾切除术治疗可切除胰腺癌患者的国际回顾性队列研究。
Ann Surg Oncol. 2023 May;30(5):3023-3032. doi: 10.1245/s10434-022-13054-2. Epub 2023 Feb 17.
6
Benchmarking of robotic and laparoscopic spleen-preserving distal pancreatectomy by using two different methods.采用两种不同方法对机器人和腹腔镜保脾胰体尾切除术进行基准测试。
Br J Surg. 2022 Dec 13;110(1):76-83. doi: 10.1093/bjs/znac352.
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Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results.腹腔镜下远端胰腺切除术治疗良性和恶性疾病:技术与结果综述
Prz Gastroenterol. 2022;17(2):103-109. doi: 10.5114/pg.2021.109625. Epub 2021 Oct 1.
8
Routine abdominal drainage after distal pancreatectomy: meta-analysis.胰体尾切除术后常规腹腔引流:荟萃分析
Br J Surg. 2022 May 16;109(6):486-488. doi: 10.1093/bjs/znac042.
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Improvement in distal pancreatectomy for tumors in the body and tail of the pancreas.胰腺体尾部肿瘤行胰体尾切除术的改进。
World J Surg Oncol. 2021 Feb 15;19(1):49. doi: 10.1186/s12957-021-02159-9.
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Risk factors and outcomes of conversion in minimally invasive distal pancreatectomy: a systematic review.微创远端胰腺切除术中转开腹的风险因素和结果:系统综述。
Langenbecks Arch Surg. 2021 May;406(3):597-605. doi: 10.1007/s00423-020-02043-2. Epub 2020 Dec 10.