胰头癌微创手术治疗的现状及展望
|
摘要
胰十二指肠切除术是唯一可能治愈胰头癌的标准术式,随着微创外科技术的不断发展,胰头癌的微创手术治疗也趋向成熟,越来越多的大型三甲医院相继报道胰头癌的微创手术。通过查阅文献及结合本胰腺外科中心的经验,阐述了当前胰头癌微创手术的现状,并指明胰腺癌微创治疗的前景及发展方向。
Pancreaticoduodenectomy is the only possible surgical procedure for the cure of pancreatic head carcinoma. With the development of minimally invasive surgery,the minimally invasive surgical treatment of pancreatic head carcinoma has become more mature,and an increasing number of grade A tertiary hospitals have reported the minimally invasive surgery for pancreatic head carcinoma. With reference to related articles and experience of our center for pancreatic surgery,this article elaborates on the current status of minimally invasive surgical treatment of pancreatic head carcinoma and points out the perspectives and development directions of minimally invasive treatment of pancreatic head carcinoma.
Pancreaticoduodenectomy is the only possible surgical procedure for the cure of pancreatic head carcinoma. With the development of minimally invasive surgery,the minimally invasive surgical treatment of pancreatic head carcinoma has become more mature,and an increasing number of grade A tertiary hospitals have reported the minimally invasive surgery for pancreatic head carcinoma. With reference to related articles and experience of our center for pancreatic surgery,this article elaborates on the current status of minimally invasive surgical treatment of pancreatic head carcinoma and points out the perspectives and development directions of minimally invasive treatment of pancreatic head carcinoma.
引文
[1] GAGNER M,POMP A. Laparoscopic pylorus-preserving pancreatoduodenectomy[J]. Surg Endosc,1994,8(5):408-410.
[2] GIULIANOTTI PC,CORATTI A,ANGELINI M,et al. Robotics in general surgery:Personal experience in a large community hospital[J]. Arch Surg,2003,138(7):777-784.
[3] ADAM MA,CHOUDHURY K,DINAN MA,et al. Minimally invasive versus open pancreaticoduodenectomy for cancer:Practice patterns and short-term outcomes among 7061 patients[J]. Ann Surg,2015,262(2):372-377.
[4] de ROOIJ T,LU MZ,STEEN MW,et al. Minimally invasive versus open pancreatoduodenectomy:Systematic review and meta-analysis of comparative cohort and registry studies[J].Ann Surg,2016,264(2):257-267.
[5] KUTLU OC,LEE JE,KATZ MH,et al. Open pancreaticoduodenectomy case volume predicts outcome of laparoscopic approach:A population-based analysis[J]. Ann Surg,2018,267(3):552-560.
[6] CROOME KP,FARNELL MB,QUE FG,et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma:Oncologic advantages over open approaches?[J]. Ann Surg,2014,260(4):633-638,638-640.
[7] KANTOR O,TALAMONTI MS,SHARPE S,et al. Laparoscopic pancreaticoduodenectomy for adenocarcinoma provides short-term oncologic outcomes and long-term overall survival rates similar to those for open pancreaticoduodenectomy[J]. Am J Surg,2017,213(3):512-515.
[8] JUSTIN V,FINGERHUT A,KHATKOV I,et al. Laparoscopic pancreatic resection-a review[J]. Transl Gastroenterol Hepatol,2016,1:36.
[9] KENDRICK ML,VAN HILST J,BOGGI U,et al. Minimally invasive pancreatoduodenectomy[J]. HPB(Oxford),2017,19(3):215-224.
[10] ZHANG YH,ZHANG CW,HU ZM,et al. Pancreatic cancer:Open or minimally invasive surgery?[J]. World J Gastroenterol,2016,22(32):7301-7310.
[11] NASSOUR I,WANG SC,CHRISTIE A,et al. Minimally invasive versus open pancreaticoduodenectomy:A propensitymatched study from a national cohort of patients[J]. Ann Surg,2018,268(1):151-157.
[12] RICCI C,CASADEI R,TAFFURELLI G,et al. Minimally invasive pancreaticoduodenectomy:What is the best"choice"? A systematic review and network meta-analysis of non-randomized comparative studies[J]. World J Surg,2018,42(3):788-805.
[13] PESSAUX P,VARMA D,ARNAUD J. Pancreaticoduodenectomy:Superior mesenteric artery first approach[J]. J Gastrointest Surg,2006,10(4):607-611.
[14] LIANG Y,WANG W,JIANG CY,et al. Management of pancreatic uncinate process via artery first approach in laparoscopic pancreaticoduodenectomy[J/CD]. Chin J Hepat Surg:Electronic Edition,2017,6(1):19-23.(in Chinese)梁贇,王巍,姜翀弋,等.动脉优先入路处理胰腺钩突在腹腔镜胰十二指肠切除术中的应用[J/CD].中华肝脏外科手术学电子杂志,2017,6(1):19-23.
[15] QIN RY,MA CY,ZHU F,et al. Application of the arterial approach in laparoscopic pancreatoduodenectomy[J]. Chin J Dig Surg,2017,16(8):791-796.(in Chinese)秦仁义,马春阳,朱峰,等.动脉入路在腹腔镜胰十二指肠切除术中的运用[J].中华消化外科杂志,2017,16(8):791-796.
[16] MA CY,ZHU F,WANG M,et al. Clinical value of arterial first approach in laparoscopic pancreaticoduodenectomy[J]. Chin J Dig Surg,2017,16(8):832-838.(in Chinese)马春阳,朱峰,王敏,等.动脉优先入路在腹腔镜胰十二指肠切除术中的临床价值[J].中华消化外科杂志,2017,16(8):832-838.
[17] SANJAY P,TAKAORI K,GOVIL S,et al.'Artery-first'approaches to pancreatoduodenectomy[J]. Br J Surg,2012,99(8):1027-1035.
[18] HACKERT T,WERNER J,WEITZ J,et al. Uncinate process firs———a novel approach for pancreatic head resection[J].Langenbecks Arch Surg,2010,395(8):1161-1164.
[19] PENG SY,WANG JW,LAU WY,et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy[J]. Ann Surg,2007,245(5):692-698.
[20] MA CY,ZHU F,XIAO GQ,et al. Application of imbedding pancreaticojejunostomy in pure laparoscopic pancreaticoduodenectomy[J]. Chin J Bases Clin Gen Surg,2016,23(4):388-392.(in Chinese)马春阳,朱峰,肖光勤,等.植入式胰管空肠吻合术在全腹腔镜胰十二指肠切除术中的应用研究[J].中国普外基础与临床杂志,2016,23(4):388-392.
[21] YANG SH,DOU KF,SHARMA N,et al. The methods of reconstruction of pancreatic digestive continuity after pancreaticoduodenectomy:A meta-analysis of randomized controlled trials[J]. World J Surg,2011,35(10):2290-2297.
[22] GUERRINI GP,SOLIANI P,D'AMICO G,et al. Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy:An up-to-date meta-analysis[J]. J Invest Surg,2016,29(3):175-184.
[23] CHENG Y,BRIARAVA M,LAI M,et al. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction for the prevention of postoperative pancreatic fistula following pancreaticoduodenectomy[J]. Cochrane Database Syst Rev,2017,9:d12257.
[24] TEMPERO MA,MALAFA MP,AL-HAWARY M,et al. Pancreatic adenocarcinoma,version 2. 2017,NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw,2017,15(8):1028-1061.
[25] SUN JF,WEN JF,ZHAO HW,et al. Meta-analysis of the efficacy of standard and extended radical resection for carcinoma of the head of pancreas[J]. Chin J Bases and Clin Gen Surg,2013,20(9):1023-1028.(in Chinese)孙静锋,闻鉴非,赵何伟,等.标准及扩大根治术治疗胰头癌疗效的meta分析[J].中国普外基础与临床杂志,2013,20(9):1023-1028.
[26] NIMURA Y,NAGINO M,TAKAO S,et al. Standard versus extended lymphadenectomy in radical pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas[J]. J Hepatobiliary Pancreat Sci,2012,19(3):230-241.
[27] JANG J,KANG MJ,HEO JS,et al. A Prospective randomized controlled study comparing outcomes of standard resection and extended resection,including dissection of the nerve plexus and various lymph nodes,in patients with pancreatic head cancer[J]. Ann Surg,2014,259(4):656-664.
[28] SUN B,SUN WH. Scope and techniques of lymphadenectomy associated with pancreaticoduodenectomy in surgical treatment of adenocarcinoma of the head of pancreas[J]. Chin J Bases Clin Gen Surg,2014,21(7):789-793.(in Chinese)孙备,苏维宏.胰头癌行胰十二指肠切除术淋巴结清扫范围及手术技巧[J].中国普外基础与临床杂志,2014,21(7):789-793.
[29] ZHU F,QIN RY. Scope and skill of lymph node dissection in radical pancreaticoduodenectomy for pancreatic head cancer[J]. J Surg Concepts Pract,2011,16(5):444-447.(in Chinese)朱峰,秦仁义.胰头癌行根治性胰十二指肠切除淋巴结清扫的范围和技巧[J].外科理论与实践,2011,16(5):444-447.
[30] CHEN RF,ZHOU QB. Value of enlarged lymph node dissection in pancreatic cancer[J]. Chin J Bases Clin Gen Surg,2018,25(6):653-656.(in Chinese)陈汝福,周泉波.胰腺癌淋巴结扩大清扫的价值[J].中国普外基础与临床杂志,2018,25(6):653-656.
[31] CHEN RF,ZHOU QB. The indication of nerve dissection and surgical skills for radical pancreaticoduodenectomy with peripancreatic nerve dissection[J]. Chin J Pract Surg,2016,36(8):847-850.(in Chinese)陈汝福,周泉波.胰头癌行根治性胰十二指肠切除术神经清扫指征与技巧[J].中国实用外科杂志,,2016,36(8):847-850.
[2] GIULIANOTTI PC,CORATTI A,ANGELINI M,et al. Robotics in general surgery:Personal experience in a large community hospital[J]. Arch Surg,2003,138(7):777-784.
[3] ADAM MA,CHOUDHURY K,DINAN MA,et al. Minimally invasive versus open pancreaticoduodenectomy for cancer:Practice patterns and short-term outcomes among 7061 patients[J]. Ann Surg,2015,262(2):372-377.
[4] de ROOIJ T,LU MZ,STEEN MW,et al. Minimally invasive versus open pancreatoduodenectomy:Systematic review and meta-analysis of comparative cohort and registry studies[J].Ann Surg,2016,264(2):257-267.
[5] KUTLU OC,LEE JE,KATZ MH,et al. Open pancreaticoduodenectomy case volume predicts outcome of laparoscopic approach:A population-based analysis[J]. Ann Surg,2018,267(3):552-560.
[6] CROOME KP,FARNELL MB,QUE FG,et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma:Oncologic advantages over open approaches?[J]. Ann Surg,2014,260(4):633-638,638-640.
[7] KANTOR O,TALAMONTI MS,SHARPE S,et al. Laparoscopic pancreaticoduodenectomy for adenocarcinoma provides short-term oncologic outcomes and long-term overall survival rates similar to those for open pancreaticoduodenectomy[J]. Am J Surg,2017,213(3):512-515.
[8] JUSTIN V,FINGERHUT A,KHATKOV I,et al. Laparoscopic pancreatic resection-a review[J]. Transl Gastroenterol Hepatol,2016,1:36.
[9] KENDRICK ML,VAN HILST J,BOGGI U,et al. Minimally invasive pancreatoduodenectomy[J]. HPB(Oxford),2017,19(3):215-224.
[10] ZHANG YH,ZHANG CW,HU ZM,et al. Pancreatic cancer:Open or minimally invasive surgery?[J]. World J Gastroenterol,2016,22(32):7301-7310.
[11] NASSOUR I,WANG SC,CHRISTIE A,et al. Minimally invasive versus open pancreaticoduodenectomy:A propensitymatched study from a national cohort of patients[J]. Ann Surg,2018,268(1):151-157.
[12] RICCI C,CASADEI R,TAFFURELLI G,et al. Minimally invasive pancreaticoduodenectomy:What is the best"choice"? A systematic review and network meta-analysis of non-randomized comparative studies[J]. World J Surg,2018,42(3):788-805.
[13] PESSAUX P,VARMA D,ARNAUD J. Pancreaticoduodenectomy:Superior mesenteric artery first approach[J]. J Gastrointest Surg,2006,10(4):607-611.
[14] LIANG Y,WANG W,JIANG CY,et al. Management of pancreatic uncinate process via artery first approach in laparoscopic pancreaticoduodenectomy[J/CD]. Chin J Hepat Surg:Electronic Edition,2017,6(1):19-23.(in Chinese)梁贇,王巍,姜翀弋,等.动脉优先入路处理胰腺钩突在腹腔镜胰十二指肠切除术中的应用[J/CD].中华肝脏外科手术学电子杂志,2017,6(1):19-23.
[15] QIN RY,MA CY,ZHU F,et al. Application of the arterial approach in laparoscopic pancreatoduodenectomy[J]. Chin J Dig Surg,2017,16(8):791-796.(in Chinese)秦仁义,马春阳,朱峰,等.动脉入路在腹腔镜胰十二指肠切除术中的运用[J].中华消化外科杂志,2017,16(8):791-796.
[16] MA CY,ZHU F,WANG M,et al. Clinical value of arterial first approach in laparoscopic pancreaticoduodenectomy[J]. Chin J Dig Surg,2017,16(8):832-838.(in Chinese)马春阳,朱峰,王敏,等.动脉优先入路在腹腔镜胰十二指肠切除术中的临床价值[J].中华消化外科杂志,2017,16(8):832-838.
[17] SANJAY P,TAKAORI K,GOVIL S,et al.'Artery-first'approaches to pancreatoduodenectomy[J]. Br J Surg,2012,99(8):1027-1035.
[18] HACKERT T,WERNER J,WEITZ J,et al. Uncinate process firs———a novel approach for pancreatic head resection[J].Langenbecks Arch Surg,2010,395(8):1161-1164.
[19] PENG SY,WANG JW,LAU WY,et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy[J]. Ann Surg,2007,245(5):692-698.
[20] MA CY,ZHU F,XIAO GQ,et al. Application of imbedding pancreaticojejunostomy in pure laparoscopic pancreaticoduodenectomy[J]. Chin J Bases Clin Gen Surg,2016,23(4):388-392.(in Chinese)马春阳,朱峰,肖光勤,等.植入式胰管空肠吻合术在全腹腔镜胰十二指肠切除术中的应用研究[J].中国普外基础与临床杂志,2016,23(4):388-392.
[21] YANG SH,DOU KF,SHARMA N,et al. The methods of reconstruction of pancreatic digestive continuity after pancreaticoduodenectomy:A meta-analysis of randomized controlled trials[J]. World J Surg,2011,35(10):2290-2297.
[22] GUERRINI GP,SOLIANI P,D'AMICO G,et al. Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy:An up-to-date meta-analysis[J]. J Invest Surg,2016,29(3):175-184.
[23] CHENG Y,BRIARAVA M,LAI M,et al. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction for the prevention of postoperative pancreatic fistula following pancreaticoduodenectomy[J]. Cochrane Database Syst Rev,2017,9:d12257.
[24] TEMPERO MA,MALAFA MP,AL-HAWARY M,et al. Pancreatic adenocarcinoma,version 2. 2017,NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw,2017,15(8):1028-1061.
[25] SUN JF,WEN JF,ZHAO HW,et al. Meta-analysis of the efficacy of standard and extended radical resection for carcinoma of the head of pancreas[J]. Chin J Bases and Clin Gen Surg,2013,20(9):1023-1028.(in Chinese)孙静锋,闻鉴非,赵何伟,等.标准及扩大根治术治疗胰头癌疗效的meta分析[J].中国普外基础与临床杂志,2013,20(9):1023-1028.
[26] NIMURA Y,NAGINO M,TAKAO S,et al. Standard versus extended lymphadenectomy in radical pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas[J]. J Hepatobiliary Pancreat Sci,2012,19(3):230-241.
[27] JANG J,KANG MJ,HEO JS,et al. A Prospective randomized controlled study comparing outcomes of standard resection and extended resection,including dissection of the nerve plexus and various lymph nodes,in patients with pancreatic head cancer[J]. Ann Surg,2014,259(4):656-664.
[28] SUN B,SUN WH. Scope and techniques of lymphadenectomy associated with pancreaticoduodenectomy in surgical treatment of adenocarcinoma of the head of pancreas[J]. Chin J Bases Clin Gen Surg,2014,21(7):789-793.(in Chinese)孙备,苏维宏.胰头癌行胰十二指肠切除术淋巴结清扫范围及手术技巧[J].中国普外基础与临床杂志,2014,21(7):789-793.
[29] ZHU F,QIN RY. Scope and skill of lymph node dissection in radical pancreaticoduodenectomy for pancreatic head cancer[J]. J Surg Concepts Pract,2011,16(5):444-447.(in Chinese)朱峰,秦仁义.胰头癌行根治性胰十二指肠切除淋巴结清扫的范围和技巧[J].外科理论与实践,2011,16(5):444-447.
[30] CHEN RF,ZHOU QB. Value of enlarged lymph node dissection in pancreatic cancer[J]. Chin J Bases Clin Gen Surg,2018,25(6):653-656.(in Chinese)陈汝福,周泉波.胰腺癌淋巴结扩大清扫的价值[J].中国普外基础与临床杂志,2018,25(6):653-656.
[31] CHEN RF,ZHOU QB. The indication of nerve dissection and surgical skills for radical pancreaticoduodenectomy with peripancreatic nerve dissection[J]. Chin J Pract Surg,2016,36(8):847-850.(in Chinese)陈汝福,周泉波.胰头癌行根治性胰十二指肠切除术神经清扫指征与技巧[J].中国实用外科杂志,,2016,36(8):847-850.