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胰十二指肠切除术(PD)是治疗胰头肿块性疾病的经典术式,但对于慢性胰腺炎和胰头部良性、交界性及低度恶性肿瘤的外科治疗是否采用PD治疗一直存在争议。保留十二指肠胰头切除术(DPPHR)在切除胰腺病变的同时能保护消化道的完整和功能的恢复,目前DPPHR已作为“器官保留胰腺手术”而日益被临床接受。该文对DPPHR的适应证、手术要点、术后并发症及术式选择进行阐述。
Pancreaticoduodenectomy (PD) is a classic procedure for the treatment of pancreatic head lump disease. However, it remains controversial whether or not surgical treatment of chronic pancreatitis and benign, borderline, and low-grade pancreatic head tumors is treated with PD . Retention of duodenal resection of the pancreas (DPPHR) in the removal of pancreatic lesions while protecting the integrity and functional recovery of the digestive tract, DPPHR has now been as “organ preserving pancreatic surgery” and increasingly accepted by the clinic. This article describes the indications of DPPHR, the main points of surgery, postoperative complications and surgical options.