576例胰腺标准手术胰背动脉解剖分型及术中处理策略

doi:10.16139/j.1007-9610.2025.06.05

摘要/Abstract

摘要：

胰背动脉（DPA）是胰腺中研究最多的动脉之一。在胰腺标准切除/根治术（胰十二指肠切除/根治术、胰体尾联合脾脏切除/根治术、全胰切除/根治术）中DPA的处理与术后胰瘘腐蚀引起的晚期出血等并发症密切相关。本文收集团队于2024年8月—2025年7月内行开腹/微创胰腺标准切除/根治术病人的数据，展示了DPA的不同来源，讨论胰腺标准切除/根治术中对DPA的处理。本文更新完善DPA的最新分型，提出胰腺手术程序化处理DPA对降低术后晚期出血风险的重要性。

关键词: 胰腺标准切除/根治术, 胰背动脉, 来源

Abstract:

Dorsal pancreatic artery (DPA) is one of the most commonly studied arteries in the pancreas. The management of DPA during pancreatic standard resection/radical surgery (pancreaticoduodenectomy, distal pancreatectomy, and total pancreatectomy) is closely related to complications such as late bleeding caused by pancreatic fistula erosion after surgery. This article collected data from patients who underwent open/minimally invasive standard pancreatic resection/radical surgery from August 2024 to July 2025, displayed different origins of DPA, and discussed the management of DPA during standard pancreatic resection/radical surgery. This article updated and improved the latest classification of DPA, and highlighted the importance of programmatic management of DPA in pancreatic surgery to reduce the risk of late postoperative bleeding.

Key words: Pancreatic standard resection/radical surgery, Dorsal pancreatic artery, Origination

中图分类号:

R657.5

欧惠仪, 金凯舟, 叶龙云, 吴伟顶. 576例胰腺标准手术胰背动脉解剖分型及术中处理策略[J]. 外科理论与实践, 2025, 30(06): 483-487.

OU Huiyi, JIN Kaizhou, YE Longyun, WU Weiding. Anatomical classification and intraoperative management strategies of dorsal pancreatic artery in 576 standard pancreatic surgeries[J]. Journal of Surgery Concepts & Practice, 2025, 30(06): 483-487.

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