Marcucci Francesca, Carillo Giovanna, Sánchez-Velázquez Patricia, Garcia-Picazo Alberto, Burdio Fernando, Ielpo Benedetto
Hepato‑Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Ann Surg Oncol. 2025 Aug;32(8):5717-5719. doi: 10.1245/s10434-025-17402-w. Epub 2025 May 6.
Pancreatoduodenectomy (PD) is performed for the treatment of pancreatic head and periampullary tumors and is associated with relatively high postoperative morbidity and mortality. Traditionally conducted as open surgery, PD has evolved with the advent of minimally invasive techniques, including robotic-assisted approaches.
As reported in the literature, minimally invasive PD is becoming a safe and effective alternative surgical approach. Clinically relevant postoperative pancreatic complications, such as fistulas and hemorrhage, remain among the most challenging issues after PD, particularly in high-risk cases. There are several maneuvers that may reduce their incidence and mitigate their postoperative clinical impact.
In this video, we describe strategies implemented at our center for high-risk PD cases, including some key tips and tricks.
胰十二指肠切除术（PD）用于治疗胰头和壶腹周围肿瘤，术后发病率和死亡率相对较高。传统上，PD是通过开放手术进行的，随着微创技术的出现，包括机器人辅助手术方法，它也在不断发展。
如文献报道，微创PD正成为一种安全有效的替代手术方法。临床上相关的术后胰腺并发症，如瘘和出血，仍然是PD术后最具挑战性的问题之一，尤其是在高危病例中。有几种操作可能会降低其发生率并减轻其术后临床影响。
在本视频中，我们描述了我们中心针对高危PD病例实施的策略，包括一些关键技巧。
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