摘要
目的总结腹腔镜保留脾脏胰体尾切除术的临床经验与手术技巧。方法自2003年11月至2006年7月,我们对6例胰腺囊性疾病患者施行保留脾血管的腹腔镜保留脾脏胰体尾切除术。结果本组6例均在腹腔镜下完成,其中1例合并右肾上腺肿瘤切除,1例合并子宫肌瘤切除、左卵巢畸胎瘤切除,1例合并子宫肌瘤切除,1例合并胆囊切除。手术时间140～265 min,出血350～600ml。术后住院时间4～9 d,无胰漏发生。随访1～31个月,症状消失,未见复发。病理诊断:潴留性囊肿2例,浆液性囊腺瘤2例,黏液性囊腺瘤2例。结论对于胰体尾部良性病变,应首选保留脾血管的腹腔镜保留脾脏胰体尾切除术,施行保留脾血管的腹腔镜保留脾脏胰体尾切除术是安全可行的。
Objective To summarize the experience in laparoscopic spleen-preserving distal pancreatectomy. Methods From Nov 2003 to July 2006, six patients with distal pancreatic cystic lesions underwent laparoscopic spleen-preserving distal pancreatectomy with splenic vessels preservation. Results All operations were successful with the operative time ranging from 140 ~ 265 rain and the intraoperative blood loss ranged from 350 - 600 ml. One case received combination resection of right adrenal adenoma, 1 case with combined laparoscopic myomectomy and left ovarian teratomectomy, 1 case with combined laparoscopic myomectomy, 1 case with combined laparoscopic cholecystectomy. All patients were discharged 4 to 9 days postoperatively. The pathologic diagnosis was retained cyst in 2 cases, serous eystadenoma in 2 eases, mucious cystadenoma in 2 cases. Symptoms disappeared in all cases after operations and there was no recurrence during a follow-up period that ranged from 1 month to 31 months. Conclusions Laparoseopie spleen-preserving distal pancreatectomy with splenic vessels preservation is the most suitable procedure for the distal pancreatic benign lesions, and in experienced hands this procedure is safe and effective.
出处
《中华普通外科杂志》
CSCD
北大核心
2007年第12期881-883,共3页
Chinese Journal of General Surgery
关键词
胰腺肿瘤
腹腔镜
胰腺切除术
Pancreatic neoplasms
Laparoscopes
Pancreatectomy
