“Blood flow control techniques” in laparoscopic pancreaticoduodenectomy: strategy and application
- VernacularTitle:腹腔镜胰十二指肠切除术中“血流控制技术”策略的思考与应用
- Author:
Zhijian TAN
1
;
Xiaosheng ZHONG
1
;
Chengjiang QIU
1
;
Zhimin YU
1
;
Guihao CHEN
1
;
Sheng ZHANG
1
;
Yanchen CHEN
1
;
Youxing HUANG
1
;
Zhangyuanzhu LIU
1
;
Yifeng LIU
1
;
Zhantao SHEN
1
Author Information
- Publication Type:Journal Article
- Keywords: Pancreaticoduodenectomy; Laparoscopes; Blood flow control; Inferior pancreaticoduodenal artery; Dorsal pancreatic artery
- From: Chinese Journal of Surgery 2025;63(11):1005-1008
- CountryChina
- Language:Chinese
- Abstract: Laparoscopic pancreaticoduodenectomy(LPD) poses a high risk of intraoperative bleeding due to the complex anatomy and rich blood supply in the pancreatic head region. This paper innovatively proposes a blood flow control technique system for LPD, adopting a strategy of “priority devascularization and pre-blocking”.By first addressing the peripheral collateral blood supply and the gastroduodenal artery, and then performing dual-system pre-blocking, the dorsal pancreatic artery and the inferior pancreaticoduodenal artery are treated in situ through a combined middle and left posterior approach. This progressive blood flow control method enhances surgical safety and oncological radicality, offering a new paradigm for the development of minimally invasive pancreatic surgery.
