摘要
目的探讨腹腔镜下胰腺假性囊肿空肠内引流术治疗胰腺体尾部假性囊肿的可行性和安全性。方法我科2013年6月~2016年1月对11例胰腺假性囊肿施行完全腹腔镜下胰腺假性囊肿空肠内引流,完全腹腔镜下从横结肠系膜后方切开囊壁,用带倒刺缝线行胰空肠吻合术。结果均在腹腔镜下完成手术,无中转开腹,术中平均出血量60 ml(40~150ml),平均手术时间120 min(90~180 min),术后平均住院时间7.5 d(5~12 d)。术后均无严重并发症发生。11例术后随访10~24个月,平均19.3月,无胰腺假性囊肿复发,无腹痛、畏寒、发热等不适。结论对胰腺体尾部假性囊肿采用完全腹腔镜胰腺假性囊肿空肠内引流安全、可行。
Objective To explore the feasibility and safety of laparoscopic pseudocystojejunostomy in the treatment of pancreatic pseudocyst. Methods Eleven patients with pancreatic pseudocyst received total laparoscopic pseudocystojejunostomy between June 2013 and January 2016. The pseudocyst wall was opened through the transverse mesocolon posterior approach. The pancreaticojejunostomy was performed with barbed suture. Results The laparoscopic surgery was successfully carried out in all the patients. The average blood loss was 60 ml（ range,40-150 ml）,the operation time was 120 min（ range,90-180 min）,and the average time of hospital stay was 7. 5 d（ range,5-12 d）. All the patients recovered smoothly without any complications. During follow-ups for 10-24 months（ mean,19. 3 months）,all the peseudocysts disappeared and there was no recurrence,abdominal pain,chills or fever. Conclusion Laparoscopic pseudocystojejunostomy in the treatment of pancreatic pseudocyst is safe and and feasible.
出处
《中国微创外科杂志》
CSCD
北大核心
2017年第10期942-944,共3页
Chinese Journal of Minimally Invasive Surgery
