作者：陈健聪，赖佳明

单位：中山大学附属第一医院胆胰外科，广东 广州 510080

Authors: Chen Jiancong, Lai Jiaming

Unit: Department of Pancreatobiliary Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

胰腺癌以其恶性程度高和预后差而著称，目前彻底的手术切除是患者实现长期生存的唯一希望。在这一领域中，众多医学专家和外科医生已经开发出多种手术方法，并针对胰腺肿瘤的不同位置和特性，提出了相应的手术原则和操作方式。随着医疗技术的进步，微创手术技术在胰腺癌的治疗中也逐渐被广泛应用。本文将从手术术式和微创外科的角度，回顾和总结近年来胰腺癌根治性切除手术的创新和改进，同时探讨这些手术方法的适用条件。

关键词： 胰腺癌；扩大切除；血管切除重建；胰腺微创外科

Abstract：

Pancreatic cancer is renowned for its high malignancy and poor prognosis, with complete surgical resection being the primary hope for long-term survival in patients. In this field, numerous medical experts and surgeons have developed various surgical methods, proposing corresponding surgical principles and techniques based on the different locations and characteristics of pancreatic tumors. With advancements in medical technology, minimally invasive surgical techniques have also gradually been widely applied in the treatment of pancreatic cancer. This article reviews and summarizes recent innovations and improvements in radical resection surgery for pancreatic cancer from the perspectives of surgical techniques and minimally invasive surgery, while also discussing the applicable conditions for these surgical methods.

Key Words: Pancreatic cancer; Extended resection; Vascular resection and reconstruction; Minimally invasive pancreatic surgery