引用本文:梁 斌,刘天奇.胰腺手术方式与胰腺区段切除术[J].中国临床新医学,2020,13(11):1095-1098.
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胰腺手术方式与胰腺区段切除术
梁 斌,刘天奇
530021 南宁,广西壮族自治区人民医院肝胆胰脾外科
摘要:
[摘要] 胰腺肿瘤手术方式传统上采用胰十二指肠切除术和左侧胰腺切除术,其缺点是手术范围大、切除的器官及组织多、创伤大、对器官功能的影响大。近年来,保留器官组织和功能的胰腺区段切除术越来越多地被开展应用,其优点是手术范围小、切除的器官及组织少、创伤小、对器官功能的影响小。该文结合相关文献及笔者团队的经验,总结胰腺肿瘤传统手术方式的缺点和胰腺区段切除术的优点、适应证及尚需要解决的问题,旨在提高临床医师对胰腺区段切除术的认识,以促进该术式在临床中的规范应用,从而使患者获益。
关键词:  胰腺肿瘤  胰十二指肠切除术  左侧胰腺切除术  胰腺区段切除术
DOI:10.3969/j.issn.1674-3806.2020.11.05
分类号:R 735.9
基金项目:
Surgical methods of pancreas and pancreatic segmental resection
LIANG Bin, LIU Tian-qi
Department of Hepatobiliary, Pancreatic and Splenetic Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Pancreaticoduodenectomy and left-sided pancreatectomy have been traditionally used for pancreatic tumors, but their disadvantages include large surgical scope, many organs and tissues removed, large trauma and great influence on organ function.In recent years, pancreatic segmental resection with preservation of organ tissue and function has been applied more and more, which has the advantages of small surgical scope, less organ and tissue resection, less trauma and less influence on organ function. Based on the relevant literature and the experience of our team, in this paper, we summarize the disadvantages of traditional surgical methods for pancreatic tumors and the advantages, indications and problems that need to be solved in pancreatic segmental resection to improve clinicians′ understanding of pancreatic segmental resection, so as to promote its standardized application in clinical practice and benefit the patients.
Key words:  Pancreatic tumor  Pancreaticoduodenectomy  Left-sided pancreatectomy  Pancreatic segmental resection