腹腔镜手术治疗胰腺癌的现状与展望

Present status and prospects of laparoscopic surgery for pancreatic caner

  • 摘要: 胰腺癌是常见的消化道恶性肿瘤,手术切除是其唯一可能治愈的手段。腹腔镜手术较传统开腹手术微创优势更明显,已应用于良性或低度恶性肿瘤治疗,但对治疗胰腺癌仍有较多顾虑。笔者通过回顾国内外腹腔镜手术治疗胰头癌和胰体尾癌的研究现状,阐述腹腔镜手术治疗胰腺癌围术期临床疗效,探讨目前腹腔镜手术治疗胰腺癌热点问题,展望以达芬奇机器人手术为代表的胰腺癌微创手术治疗前景。腹腔镜手术治疗胰腺癌技术上安全可行,并具有微创优势,近期肿瘤学疗效与开腹手术相当,远期疗效仍需进一步研究结果证实。

     

    Abstract: Pancreatic cancer is one of the most common and malignant tumor in the field of digestive system. Surgery still is potential method to cure pancreatic cancer. Laparoscopic surgery with the advantage of minimal invasion has been applied in the treatment of benign and low malignant tumors, but it is in great controversy whether laparoscopic surgery could be used in treatment of pancreatic cancer. This study reviews the literatures of laparoscopic surgery for pancreatic cancer and the clinical outcomes, and explores its current development and prospects.

     

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