Choi Munseok, Kang Chang Moo
Division of Hepatobiliary and Pancreatic Surgery Yonsei University College of Medicine Seoul Korea.
Department of Surgery Yonsei University College of Medicine Seoul Korea.
Ann Gastroenterol Surg. 2020 Jan 28;4(2):180-184. doi: 10.1002/ags3.12310. eCollection 2020 Mar.
Laparoscopic pancreaticoduodenectomy (LPD) is technically feasible, but its safety is still controversial. Pancreas texture and the small size of the main pancreatic duct indicate laparoscopic pancreaticoduodenectomy (LPD) as a challenging procedure. Thus, LPD could be a risk factor for postoperative pancreatic fistula (POPF), longer hospital stay, and delayed adjuvant chemotherapy that affects long-term oncologic outcome. So, it is important to promote education on LPD especially techniques for pancreaticojejunostomy. A porcine model for duct-to-mucosa pancreaticojejunostomy (PJ) (Yonsei-PJ) was developed, and details of the model will be described in this report.
腹腔镜胰十二指肠切除术（LPD）在技术上是可行的，但其安全性仍存在争议。胰腺质地以及主胰管管径较小表明腹腔镜胰十二指肠切除术（LPD）是一项具有挑战性的手术。因此，LPD可能是术后胰瘘（POPF）、住院时间延长以及影响长期肿瘤学结局的辅助化疗延迟的危险因素。所以，推广LPD相关知识尤其是胰肠吻合技术的培训非常重要。我们建立了一种用于胰管-黏膜吻合的猪胰肠吻合术（PJ）模型（延世-PJ），本报告将详细描述该模型。
