Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2019, Vol. 41 ›› Issue (2): 267-272.doi: 10.3881/j.issn.1000-503X.11021

• Review Article • Previous Articles     Next Articles

Laparoscopic Pancreaticoduodenectomy:Strength,Weakness,and Future Directions

WANG Fei,SHANG Zhonghua()   

  1. Department of General Surgery,Second Clinical Hospital,Shanxi Medical University,Taiyuan 030000,China
  • Received:2018-11-19 Online:2019-04-28 Published:2019-05-07
  • Contact: Zhonghua SHANG E-mail:shangzhonghua2001@163.com

Abstract:

Laparoscopic pancreatoduodenectomy(LPD)is one of the most challenging abdominal procedures.It has been developed for nearly 25 years since the first report in 1994.During the first 10 years,LPD has developed slowly due to widespread controversy and opposition.In the past 10 years,a number of breakthroughs have been made in LPD with the introduction of high-definition laparoscopy,improvements in laparoscopic instruments,advances in minimally invasive surgery,improved selections of patients,and accumulation of experiences in open pancreaticoduodenectomy(OPD).However,many controversies still exist.This review summarizes the strength and weakness of LPD versus OPD in terms of indications,learning curve,complications,short-term benefits,long-term oncology results,and cost and proposes its future directions.

Key words: laparoscopic pancreatoduodenectomy, indication, learning curve, complication, oncology result, cost

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