Laparoscopic Pancreaticoduodenectomy:Strength,Weakness,and Future Directions.
10.3881/j.issn.1000-503X.11021
- Author:
Fei WANG
1
;
Zhong Hua SHANG
1
Author Information
1. Department of General Surgery,Second Clinical Hospital,Shanxi Medical University,Taiyuan 030000,China.
- Publication Type:Journal Article
- MeSH:
Humans;
Laparoscopy;
Pancreatic Neoplasms;
surgery;
Pancreaticoduodenectomy;
methods
- From:
Acta Academiae Medicinae Sinicae
2019;41(2):267-272
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic pancreatoduodenectomy(LPD)is one of the most challenging abdominal procedures.It has been developed for nearly 25 years since the first report in 1994.During the first 10 years,LPD has developed slowly due to widespread controversy and opposition.In the past 10 years,a number of breakthroughs have been made in LPD with the introduction of high-definition laparoscopy,improvements in laparoscopic instruments,advances in minimally invasive surgery,improved selections of patients,and accumulation of experiences in open pancreaticoduodenectomy(OPD).However,many controversies still exist.This review summarizes the strength and weakness of LPD versus OPD in terms of indications,learning curve,complications,short-term benefits,long-term oncology results,and cost and proposes its future directions.
