探讨腹腔镜胰十二指肠切除术（LPD）的围手术期标准化管理。

回顾性分析2017年1月至2018年12月在中山大学孙逸仙纪念医院行LPD的50例患者临床资料。患者均签署知情同意书，符合医学伦理学规定。其中男31例，女19例；年龄9~79岁，中位年龄58岁。患者均接受围手术期标准化管理，包括精准的术前评估、标准化的手术流程、相对固定的手术团队配合、规范化的术后管理等。观察患者手术时间、术中出血量、术后住院时间、并发症等情况。

所有患者均顺利完成LPD。手术时间中位数307（155~460）min，术中出血量119（20~500）ml，术后住院时间17（7~56）d。术后发生B级胰瘘4例，腹腔感染4例，胃瘫2例，胃肠吻合口出血1例。

精准的术前评估、标准化的手术流程与配合以及规范化的术后管理组成了标准化的围手术期管理，其有助于提高LPD的安全性及有效性。

To explore the standardized perioperative managements for laparoscopic pancreaticoduodenectomy (LPD).

Clinical data of 50 patients who underwent LPD inSun Yat-sen Memorial Hospital of Sun Yat-sen University from January 2017 to December 2018 were retrospectively analyzed. The informed consents of all patients were obtained and the local ethical committee approval was received. Among them, 31 patients were male and 19 female, aged from 9 to 79 years, witha median age of 58 years. All patients received standardized perioperative managements, including accurate preoperative evaluation, standardized surgical procedures, relatively steady cooperation of surgical teams and standardized postoperative managements, etc. The operation time, intraoperative blood loss, length of postoperative hospital stay and postoperative complications were observed.

LPD were successfully completed in all the patients. The median operation time was 307(155-460) min. Intraoperative blood loss was 119(20-500) ml. The length of postoperative hospital stay was 17(7-56) d. Postoperatively, 4 cases suffered from grade B pancreatic fistula, 4 cases abdominal infection, 2 cases gastroparesis and1 case gastrointestinal anastomotic bleeding.

Standardized perioperative managements for PLD mainly consist of accurate preoperative evaluation, standardized surgical procedures and cooperation, standardized postoperative managements, which contribute to improving the efficacy and safety of LPD.