A study on several surgical methods of pancreas guided by main pancreatic duct treatment
10.3760/cma.j.cn112139-20220322-00118
- VernacularTitle:以主胰管处理为导向对若干胰腺术式的探讨
- Author:
Heguang HUANG
1
;
Maoen PAN
Author Information
1. 福建医科大学附属协和医院基本外科，福州 350001
- Keywords:
Pancreatectomy;
Laparoscopes;
Robotic surgery;
Pancreaticojejunostomy;
Wirsung duct
- From:
Chinese Journal of Surgery
2022;60(7):651-654
- CountryChina
- Language:Chinese
-
Abstract:
With the gradual spread of laparoscopic and robotic technology, pancreatic surgery is developing toward reducing complications and preserving more pancreatic functions. The main pancreatic duct is an important outflow channel for pancreatic exocrine fluid, and precise management of the main pancreatic duct can effectively reduce the occurrence of postoperative pancreatic complications. This paper focuses on the difficulties of pancreatic-intestinal anastomosis, distal pancreatic resection, the relationship between the pancreatic pseudocyst and main pancreatic duct, and partial pancreatic resection, and introduces how to properly manage the main pancreatic duct in common pancreatic procedures under laparoscopic and robotic techniques. Besides, the “mucosa-to-mucosa six-stitch method” for mid-pancreatic resection and end-to-end anastomosis has been proposed, which can achieve the best surgical results with minimally invasive technology and benefit more patients.
