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微创顺行模块化胰脾切除术:常规术式与改良术式对比

Minimally invasive radical antegrade modular pancreatosplenectomy: routine vs. modified.

作者信息

Kim Hee Joon

机构信息

Division of Hepato-Pancreato-Biliary Surgery, Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.

出版信息

J Minim Invasive Surg. 2022 Dec 15;25(4):121-126. doi: 10.7602/jmis.2022.25.4.121.

DOI:10.7602/jmis.2022.25.4.121
PMID:36601488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9763487/
Abstract

Radical antegrade modular pancreatosplenectomy (RAMPS) was introduced in 2003 by Strasberg to improve survival outcomes in left-sided pancreatic ductal adenocarcinoma. Many investigators have shown the feasibility and safety of minimally invasive RAMPS (MI-RAMPS). However, the survival benefit of RAMPS is inconclusive, and possible risks following the procedure, such as exocrine and endocrine insufficiencies, cannot be ignored. Therefore, several modifications of RAMPS were designed. Modified RAMPS is not a specific technique but rather a reduced form of RAMPS that is undertaken without compromising oncologic principles. In this literature review, the surgical technique and strategies of MI-RAMPS were examined.

摘要

根治性顺行模块化胰脾切除术(RAMPS)由斯特拉斯伯格于2003年提出,旨在改善左侧胰腺导管腺癌的生存结局。许多研究者已证实了微创RAMPS(MI-RAMPS)的可行性和安全性。然而,RAMPS的生存获益尚无定论,且该手术后可能出现的风险,如外分泌和内分泌功能不全,不容忽视。因此,人们设计了几种RAMPS的改良术式。改良RAMPS并非一种特定技术,而是在不违背肿瘤学原则的前提下简化的RAMPS术式。在这篇文献综述中,我们探讨了MI-RAMPS的手术技术和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/509f81230598/jmis-25-4-121-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/381d6a251bc9/jmis-25-4-121-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/f229c4799087/jmis-25-4-121-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/cc65d0b56282/jmis-25-4-121-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/0b347dc87719/jmis-25-4-121-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/509f81230598/jmis-25-4-121-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/381d6a251bc9/jmis-25-4-121-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/f229c4799087/jmis-25-4-121-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/cc65d0b56282/jmis-25-4-121-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/0b347dc87719/jmis-25-4-121-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/094f/9763487/509f81230598/jmis-25-4-121-f5.jpg

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本文引用的文献

1
Short and long-term outcomes of minimally invasive central pancreatectomy: Comparison with minimally invasive spleen-preserving subtotal distal pancreatectomy.微创中央胰腺切除术的短期和长期结果:与微创保留脾脏的远端胰腺次全切除术的比较。
Asian J Surg. 2023 Feb;46(2):824-828. doi: 10.1016/j.asjsur.2022.08.084. Epub 2022 Sep 8.
2
Clinical outcomes of organ-preserving pancreatectomy for benign or low-grade malignant pancreatic tumors: A multicenter nationwide survey in Japan.日本多中心全国性调查:保留器官的胰腺切除术治疗良性或低级别恶性胰腺肿瘤的临床结果。
J Hepatobiliary Pancreat Sci. 2022 Aug;29(8):898-910. doi: 10.1002/jhbp.1154. Epub 2022 Apr 30.
3
Complications in Distal Pancreatectomy versus Radical Antegrade Modular Pancreatosplenectomy: A Disease Risk Score Analysis Utilizing National Surgical Quality Improvement Project Data.
远端胰腺切除术与根治性顺行模块化胰脾切除术的并发症:利用国家手术质量改进计划数据的疾病风险评分分析。
World J Surg. 2022 Jul;46(7):1768-1775. doi: 10.1007/s00268-022-06545-6. Epub 2022 Apr 11.
4
Prevalence and Risk Factors for Pancreatic Insufficiency After Partial Pancreatectomy.胰腺部分切除术后胰腺功能不全的患病率及危险因素
J Gastrointest Surg. 2022 Jul;26(7):1425-1435. doi: 10.1007/s11605-022-05302-3. Epub 2022 Mar 22.
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Optimal Region of Lymph Node Dissection in Distal Pancreatectomy for Left-Sided Pancreatic Cancer Based on Tumor Location.基于肿瘤位置的左侧胰腺癌胰体尾切除术的最佳淋巴结清扫区域。
Ann Surg Oncol. 2022 Apr;29(4):2414-2424. doi: 10.1245/s10434-021-11108-5. Epub 2021 Nov 26.
6
Minimally Invasive Versus Open Radical Antegrade Modular Pancreatosplenectomy: A Meta-Analysis.微创与开放根治性顺行模块化胰脾切除术:一项荟萃分析。
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7
Pancreatic body and tail cancer and favorable metastatic lymph node behavior on the left edge of the aorta.胰体尾部癌和位于主动脉左缘的有利转移性淋巴结行为。
Pancreatology. 2020 Oct;20(7):1451-1457. doi: 10.1016/j.pan.2020.08.014. Epub 2020 Aug 25.
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Reconsidering the Optimal Regional Lymph Node Station According to Tumor Location for Pancreatic Cancer.根据肿瘤位置重新考虑胰腺癌的最佳区域淋巴结站。
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Assessement of postoperative long-term survival quality and complications associated with radical antegrade modular pancreatosplenectomy and distal pancreatectomy: a meta-analysis and systematic review.顺行性模块化胰脾切除术和远端胰腺切除术相关的术后长期生存质量及并发症评估:一项荟萃分析和系统评价
BMC Surg. 2019 Jan 28;19(1):12. doi: 10.1186/s12893-019-0476-x.