Recently, under the leadership of Chief Expert Professor Zou Shubing and Professor Wang Kai, Dr. Yuan Rongfa and Dr. Hu Zhigang successfully completed a pancreatic duodenectomy combined with partial resection and reconstruction of the superior mesenteric vein + portal vein in the

Recently, under the leadership of the Chief Expert Professor Zou Shubing and Professor Wang Kai, Dr. Yuan Rongfa and Dr. Hu Zhigang successfully completed a 3D laparoscopic 3D laparoscopic combined with partial resection and portal vein resection of superior mesenteric vein + portal vein in the "double main surgery" mode. After the operation, the surgical concept of accelerated rehabilitation was adhered to, and through careful treatment and care, the patient recovered well without obvious complications such as pancreatic fistula, biliary fistula . The smooth implementation of this surgery and the rapid recovery of the patient mark a new peak in the complex pancreatic surgery department of the Hepatobiliary and Pancreatic Surgery Department of the Second Affiliated Hospital of Nanchang University, and it has entered the first-class domestically conducted!

patient Huang went to the Red Horse Ward of Hepatobiliary and Pancreatic Surgery Department of Nanchang University Second Affiliated Hospital for treatment due to general yellowing. CT suggested that the pancreatic head place-occupying lesions with pancreatic bile duct dilation. Consider pancreatic head cancer , and the tumor invades the superior mesenteric vein and the right wall of the portal vein. To completely cure it, part of the blood vessels must be removed. This is also the only way for the patient to survive for a long time, but it is extremely difficult to perform this surgery through laparoscopy worldwide. After full discussion and evaluation of the general practice, in September 2022, the surgical team successfully performed a pancreatic duodenectomy combined with partial resection and reconstruction of superior mesenteric vein + portal vein for the patient.

In recent years, with the development of laparoscopic minimally invasive surgical technology, abdominal surgery ushered in the era of minimally invasive laparoscopic. Laparoscopic pancreatic duodenectomy is known as the Mount Everest in abdominal surgery due to its large range of surgery, involves many organs, and high requirements for digestive tract reconstruction ( pancreatic jejunal anastomosis, bile duct jejunal anastomosis, gastrojejunal anastomosis). On this basis, laparoscopic pancreaticoduodenectomy combined with vascular resection and reconstruction is more difficult and is the pearl on the top of Mount Everest .

At present, the Red Hazard Ward of Hepatobiliary and Pancreatic Surgery Department of the Second Affiliated Hospital of Nanchang University is divided into three sub-professional directions: liver, biliary duct , and pancreas. Among them, the pancreatic surgery sub-professional has been committed to the diagnosis and treatment of benign and malignant pancreas diseases for a long time. A variety of pancreatic disease diagnosis and treatment technologies are routinely carried out on the open/laparoscopic pancreatic duodenectomy (combined with portal vein/super mesenteric vein removal and reconstruction), open/laparoscopic radical anterograde modular pancreatic tail resection, laparoscopic pancreatic head resection, laparoscopic mid-section pancreatic resection, laparoscopic spleen-preservation body tail resection, laparoscopic splenic and pancreatic body tail resection, full laparoscopic pancreatic duodenectomy after neoadjuvant chemotherapy for pancreatic head cancer, radio particle implantation of pancreatic cancer, and comprehensive treatment of pancreatic cancer. Among them, in terms of laparoscopic retention of duodenal pancreatic head resection (Beger surgery), the largest single-center case in the province has accumulated.

In order to promote the development of pancreatic surgery in Jiangxi Province, Professor Wang Kai and Dr. Yuan Rongfa of the department took the lead in establishing the Jiangxi Pancreatic Youth Club, bringing together a large number of outstanding young and middle-aged pancreatic surgeons, regularly organize young talents in pancreatic surgery in and outside the province to conduct academic exchanges, discuss hot issues in pancreatic surgery, and promote new concepts and new technologies in pancreatic surgery at home and abroad.

In terms of scientific research, the Department of Hepatobiliary and Pancreatic Surgery of the Second Affiliated Hospital of Nanchang University has been approved in the past two years for pancreatic cancer -related national natural science foundation projects and 1 provincial key project; 5 papers related to pancreatic cancer were published in the internationally renowned journals Oncogene (IF: 9.876, JCR District 1) and Cell Death Dis (IF: 9.685, JCR District 1), and other pancreatic cancer-related papers, making the voice of Jiangxi hepatobiliary and pancreatic surgery internationally!

Author: Associate Professor of Hepatobiliary and Pancreatic Surgery, Second Affiliated Hospital of Nanchang University Yuan Rongfa

Correspondent: Zhang Pengju

Editor: Chen Shirui

Review: Xie Tao

Issued: Song Yan

Picture: Some pictures in this article are from the Internet and the copyright belongs to the original author. If there is any infringement, please contact us to delete it.