Innovation and development of surgical techniques for pancreatic tumors
10.3760/cma.j.cn112139-20240318-00132
- VernacularTitle:胰腺肿瘤外科治疗技术的创新与发展
- Author:
Yiping MOU
1
;
Shuyou PENG
;
Yun JIN
;
Qicong ZHU
Author Information
1. 浙江省人民医院胃肠胰外科 浙江省胃肠病学重点实验室，杭州310014
- Keywords:
Pancreatic neoplasms;
Surgical procedures,operative;
Laparoscopic surgery;
Robotic surgery;
Multidisciplinary collaboration
- From:
Chinese Journal of Surgery
2024;62(7):648-653
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, great progress has been made in the diagnosis and treatment of pancreatic tumors. In terms of diagnosis, three-dimensional CT reconstruction, PET-CT scan, endoscopic ultrasound with needle biopsy are used to evaluate the benign or malignant stage and biological characteristics of the tumor, to make treatment decisions more scientific and reasonable. In terms of treatment, new technologies, such as arterial priority arterial sheath dissection and radical resection of the retroperitoneal lipo-lymphatic layer, have continuously emerged to improve radical curability of tumors. For benign or low-grade malignant pancreatic tumors, function-preserving surgery is adopted to avoid long-term complications. Minimally invasive pancreatic surgery has advanced in leaps and bounds. Both standard radical surgery and function-preserve surgery can be performed under a laparoscope or robot. Non-surgical treatment has developed quickly with each passing day; for locally advanced or metastatic pancreatic cancer, neoadjuvant therapy is expected to be down-staged or transformed into surgery. These advances in diagnosis and treatment technology have led to multidisciplinary teamwork. Based on accurate assessment, giving full play to the advantages of laparoscopic and robotic systems in diagnosis and treatment, attaching importance to comprehensive nonsurgical treatment and doctor-patient communication with care throughout the process, these are keys to improve the clinical efficacy of pancreatic tumors in the era of minimally invasive surgery.
