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[腹腔镜胰十二指肠切除术专家共识(手术流程及主要步骤后记)]

[Expert consensus of laparoscopic pancreaticoduodenectomy(postscript of operation process and main steps)].

出版信息

Zhonghua Wai Ke Za Zhi. 2017 May 1;55(5):335-339. doi: 10.3760/cma.j.issn.0529-5815.2017.05.004.

Abstract

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.

摘要

腹腔镜胰十二指肠切除术(LPD)是一种通过全腹腔镜或辅助腹腔镜技术进行Whipple手术的微创方法。在过去十年中,其可行性、安全性、短期和长期结果已逐渐得到认可。为了进一步适应发展趋势,提高安全性和肿瘤学疗效,推动中国LPD的规范化发展,中国四个胰腺手术团队撰写了这份LPD共识。该共识包括七个部分:术者要求、适应证和禁忌证、术前准备与麻醉、设备和器械、患者体位与穿刺孔、腹压、中转开腹指征、术后观察与处理。此外,还附上了推荐的手术流程和主要步骤。该共识将有助于已开展或准备开展手术的外科医生在临床实践中做出合理决策。

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