保留器官的胰腺手术临床应用进展

由于解剖关系紧密,传统的胰腺切除手术（包括胰十二指肠切除术、胰体尾脾脏切除术等）多需合并切除胰腺周围脏器,对机体创伤大,术后并发症发生率和死亡率较高.随着影像学诊断技术的发展,目前越来越多的胰腺良性肿瘤和低度恶性肿瘤能得到早期诊断和及时发现,降低手术创伤成为外科医生探索的方向,保留器官的胰腺切除手术（organ-preserving pancreatectomy,OPP）应运而生.该文就OPP几种术式如保留十二指肠的胰头切除术（duodenum-preserving pancreatic head resection,DPPHR）、胰腺中段切除术（central pancreatectomy,CP）和保留脾脏的胰体尾切除术（spleen-preserving distal pancreatectomy,SPDP）作一综述.

Clinical progress of organ-preserving pancreatectomy

Because of the anatomical position, surgeons generally need to remove the surrounding organs of pancreas when doing the traditional pancreatectomy （including pancreaticoduodenectomy, distal pancreatectomy and spleen resection, etc. with much trauma, high mortality and morbidity after operation. With the development of imaging diagnostic techniques ,more and more benign or low-grade maglignant pancreatic tumor can be early diagnosed. Reduction of operation trauma becomes the research direction of surgeons. Organ-preserving pancreatectomy （OPP） was developed accordingly. This paper reviews main OPP operations such as duodenum-preserving pancreatic head resection, central pancreatectomy and spleen-preserving distal pancreatectomy.