Challenges and strategies in minimally invasive pancreatic enucleation
10.3760/cma.j.cn112139-20241223-00584
- VernacularTitle:微创入路胰腺肿瘤局部切除的难点与对策
- Author:
Zheng LI
1
;
Qifeng ZHUO
1
;
Shunrong JI
1
;
Xianjun YU
1
;
Xiaowu XU
1
Author Information
1. 复旦大学附属肿瘤医院胰腺外科 复旦大学上海医学院肿瘤学系 上海市胰腺肿瘤研究所 上海市胰腺肿瘤精准诊疗重点实验室 复旦大学胰腺肿瘤研究所，上海 200032
- Publication Type:Journal Article
- Keywords:
Pancreatic tumor;
Surgical procedures, operative;
Minimally invasive enucleation;
Preoperative assessment;
Surgical key points;
Prognosis
- From:
Chinese Journal of Surgery
2025;63(4):318-321
- CountryChina
- Language:Chinese
-
Abstract:
Minimally invasive enucleation of pancreatic tumors has become a focal topic in the field of pancreatic surgery. This technique, which allows for complete tumor removal while preserving maximal pancreatic function, has seen widespread application in clinical practice in recent years. Preoperative evaluation is essential, requiring a thorough assessment of the necessity, feasibility, and appropriateness of surgery, and a careful choice between follow-up observation, parenchyma-sparing resection, or radical resection. If the lesion carries a potential risk of malignancy, radical resection, such as pancreaticoduodenectomy, should be performed. During minimally invasive local resection, selecting an appropriate surgical approach, accurately localizing the tumor, protecting the main pancreatic duct (MPD), and effectively repairing and reconstructing the MPD in case of injury are key to ensuring both surgical safety and efficacy. In addition, pancreatic wound management and the long-term prognosis of patients who undergo MPD repair and reconstruction are also areas of significant concern.
