G路径保留幽门的胰十二指肠切除术

G path pylorus preserving pancreaticoduodenectomy

  • 摘要:

    胰十二指肠切除术被认为是一位成熟消化外科医师应该掌握的最复杂和最具挑战性的手术。基于对患者术前影像学资料的精细评估,我们倡用一种称为G路径的新型保留幽门的胰十二指肠切除手术程式。G路径胰十二指肠切除术可以标准化手术步骤、简化手术流程、节约手术时间,按照精细的术前规划达到R0切除,避免了传统手术操作中的反复探查和分离,降低了医源性肿瘤转移的风险。本文以1例胰头癌并梗阻性黄疸患者为例,介绍G路径胰十二指肠切除术并讨论其关键技术。

     

    Abstract:

    For a matured digestive surgeon, pancreaticoduodenectomy (PD) is regarded as one of the most complicated and technically challenging surgical procedure. Based on the accurate interpretation of patientspreoperative imageologic data, we advocate a novel procedure which is called as G-path pyloruspreserving pancreatoduodenectomy (G-path PPPD). We deem Gpath PPPD as a standardized procedure for resectable pancreatic head cancer or periampullary carcinoma, which definitely simplify the procedure, save the operative time, achieve R0 resection through enbloc resection without interruptedly intraoperative exploration and reduce the risk of iatrogenic tumor metastasis. This article introduced the program of G-path PPPD in detail by taking a patient as an example who suffered from pancreatic head cancer accompanied with obstructive jaundice, and discussed the relevant points.

     

/

返回文章
返回