Nakao Akimasa
Professor Emeritus, Nagoya University, President Nagoya Central Hospital, Nagoya, Japan.
Dig Surg. 2016;33(4):308-13. doi: 10.1159/000445014. Epub 2016 May 25.
Isolated pancreatoduodenectomy (PD) is an ideal surgery for pancreatic head cancer. In cancer surgery, 'isolated' means en bloc resection using a non-touch isolation technique. I have been developing isolated PD for pancreatic cancer since 1981. In this operation, the most important and first step is to use a mesenteric approach instead of Kocher's maneuver. The precise surgical techniques of the mesenteric approach are introduced in this paper.
孤立性胰十二指肠切除术（PD）是治疗胰头癌的理想手术方式。在癌症手术中，“孤立性”意味着采用非接触隔离技术进行整块切除。自1981年以来，我一直在开展针对胰腺癌的孤立性PD手术。在该手术中，最重要的第一步是采用肠系膜入路而非科克伦手法。本文介绍了肠系膜入路的精确手术技术。
