摘要
目的探讨腹腔镜辅助下行胰十二指肠切除的可行性。方法收集2010年1月至5月行腹腔镜辅助下胰十二指肠切除术的5例患者。其中2例术前诊断为胆总管下端腺癌，2例为十二指肠降部腺癌，1例术中诊断为胰头癌。术中首先行腹腔镜探查，在腹腔镜下分离并切除胆囊、远端胆管、远端胃、十二指肠、部分空肠及胰头，然后再剖腹完成消化道重建。结果5例患者手术顺利，手术时间平均为（339±54）min，术中出血量平均为（538±106）ml，术中无输血；术后平均（4．0±1．0）d恢复肠道功能，术后（15．8±4．7）d出院；一例发生胰瘘，经非手术治疗后愈合。结论腹腔镜辅助下胰十二指肠切除术具有微创、手术时间短、术后恢复快等优点，值得临床上进一步探讨。
Objective To explore the feasibility of laparoscopic-assisted pancreaticoduodenectomy. Methods The clinical data of 5 patients in our hospital from January to May 2010 were analyzed. 2 patients were pre-operatively diagnosed to have lower common bile duct adenocarcinoma, and 2 patients were preoperatively diagnosed to have adenocarcinoma of the descending duodenum, 1 patient was intra-operatively diagnosed to have pancreatic head cancer. During the operation, laparoscopic exploration was performed, then gallbladder, distant bile duct, distant stomach, duodenum, part of jejunum and head of pancreas were disassociated, then the digestive tract was reconstructed under open abdomen surgery. Results All the operations of the 5 cases were successfully performed, with an average operation time （339 ± 54） min and an intra-operative blood loss of （538 ± 106）ml, and there was no intra-operative blood transfusion. The patients＇ bowel function recovered （4.0 ± 1.0） d postoperatively and were discharged （ 15.8 ± 4.7 ） d postoperatively. 1 patient developed pancreatic fistula and was cured with conservative treatment. Conclusions Laparoscopicassisted pancreatoduodenectomy is minimally invasive with short operation time and fast postoperative recovery, which is worth of further clinical study.
出处
《中华胰腺病杂志》
CAS
2011年第4期240-242,共3页
Chinese Journal of Pancreatology
关键词
外科手术
胰十二指肠切除术
腹腔镜外科手术
辅助
Surgical procedures
Pancreatoduodenectomy
Laparoscopy surgical procedures
Assisted
