Laparoscopic pancreaticoduodenectomy: are the best times coming?

被引：31

作者：

Liu, Mengqi ^{[1
,2
,3
]}

Ji, Shunrong ^{[1
,2
,3
]}

Xu, Wenyan ^{[1
,2
,3
]}

Liu, Wensheng ^{[1
,2
,3
]}

Qin, Yi ^{[1
,2
,3
]}

Hu, Qiangsheng ^{[1
,2
,3
]}

Su, Qiqing ^{[1
,2
,3
]}

Zhang, Zheng ^{[1
,2
,3
]}

Yu, Xianjun ^{[1
,2
,3
]}

Xu, Xiaowu ^{[1
,2
,3
]}

机构：

[1] Fudan Univ, Dept Pancreat Surg, Shanghai Canc Ctr, Shanghai 200032, Peoples R China

[2] Fudan Univ, Shanghai Med Coll, Dept Oncol, Shanghai 200032, Peoples R China

[3] Fudan Univ, Pancreat Canc Inst, Shanghai Pancreat Canc Inst, Shanghai 200032, Peoples R China

来源：

WORLD JOURNAL OF SURGICAL ONCOLOGY | 2019年 / 17卷 / 1期

关键词：

Laparoscopic; Pancreaticoduodenectomy; Open surgery; Robotic; Overall survival; PYLORUS-PRESERVING PANCREATICODUODENECTOMY; LONG-TERM; ROBOTIC PANCREATICODUODENECTOMY; DUCTAL ADENOCARCINOMA; PANCREATIC SURGERY; GENERAL-SURGERY; OUTCOMES; CHEMOTHERAPY; EXPERIENCE; CARCINOMA;

D O I：

10.1186/s12957-019-1624-6

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BackgroundThe introduction of laparoscopic technology has greatly promoted the development of surgery, and the trend of minimally invasive surgery is becoming more and more obvious. However, there is no consensus as to whether laparoscopic pancreaticoduodenectomy (LPD) should be performed routinely.Main bodyWe summarized the development of laparoscopic pancreaticoduodenectomy (LPD) in recent years by comparing with open pancreaticoduodenectomy (OPD) and robotic pancreaticoduodenectomy (RPD) and evaluated its feasibility, perioperative, and long-term outcomes including operation time, length of hospital stay, estimated blood loss, and overall survival. Then, several relevant issues and challenges were discussed in depth.ConclusionThe perioperative and long-term outcomes of LPD are no worse and even better in length of hospital stay and estimated blood loss than OPD and RPD except for a few reports. Though with strict control of indications, standardized training, and learning, ensuring safety and reducing cost are still and will always the keys to the healthy development of LPD; the best times for it are coming.

引用

页数：11

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