Arca M J, Gagner M
Department of General Surgery, Minimally Invasive Surgery Center, Cleveland Clinic Foundation, Ohio, USA.
Chirurg. 1998 Jun;69(6):621-7. doi: 10.1007/s001040050465.
Laparoscopic pancreatic surgery is technically difficult and demanding owing to its retroperitoneal location and its complex anatomic relationships. Performing these operations requires familiarity with the anatomy of the retroperitoneum and advanced laparoscopic skills. Intracorporeal suturing skills are also mandatory. Due to the small number of operations performed in centers, an evaluation period of at least 5 years is necessary to determine the role of laparoscopic procedures in pancreatic disease processes. However, laparoscopic procedures are beginning to represent an undeniable part of the surgical repertoire against pancreatic pathology.
由于胰腺位于腹膜后且解剖关系复杂,腹腔镜胰腺手术在技术上具有难度且要求较高。进行这些手术需要熟悉腹膜后的解剖结构以及具备先进的腹腔镜技术。体内缝合技术也是必不可少的。由于各中心开展的此类手术数量较少,因此至少需要5年的评估期来确定腹腔镜手术在胰腺疾病治疗过程中的作用。然而,腹腔镜手术正开始成为针对胰腺疾病的外科手术方法中不可忽视的一部分。