摘要
目的探讨保留脾脏的胰体尾肿瘤切除术在胰体尾部肿瘤治疗中的可行性及作用。方法收集大连市中心医院于1999年1月至2010年12月期间收治的胰体尾肿瘤患者49例,其中行保留脾脏的胰体尾肿瘤切除术18例,包括胰腺腺癌7例,胰尾囊腺瘤9例,胰岛素瘤2例,其中3例患者接受了腹腔镜辅助保留脾脏胰体尾肿瘤切除术。回顾性分析患者的临床症状、术前检查、术后并发症等指标,并进行术后随访观察。结果开腹和腹腔镜辅助保留脾脏胰体尾肿瘤切除术均顺利实施,所选术式患者耐受性好,术后并发症少,多数患者获得长期生存。结论术前影像学检查和肿瘤标志物检查是早期诊断胰体尾肿瘤的可靠办法,CTA、DSA等检查是术前判定的重要手段,保留脾脏的胰体尾肿瘤切除术应作为胰体尾肿瘤的首选术式。腹腔镜辅助保留脾脏胰体尾肿瘤切除术是安全可行的,具有创伤轻、恢复快、并发症少等优点。
Objective To discuss the feasibility and effect of spleen-preserving distal pancreateetomy in treatment of pancreatic body and tail tumors. Methods A retrospective analysis was performed tof 49 cases of pancreatic body and tail tumors treated by surgery in our hospital from January 1999 to Decmber 2010. Eighteen cases were treated by spleen-preserving distal pancreatectomy including 7 cases with pancreatic adenocarcinoma, 9 cases with cystadenoma of pancreas tail, 2 case with insulinoma. Among them, three patients underwent laparoscopie distal pancreateetomy with preservation of the spleen. The clinical symptoms, preoperative examination, postoperative complications were analyzed retrospectively, and the follow-up observation was conducted. Results The open and laparoscopic spleen-preserving distal pancreatectomy were performed in all cases successfully. Spleen-preserving distal pancreatectomy made patients with well tolerated and fewer postoperative complications. Most patients receive long-term survival. Conclusions Preoperative imaging studies and tumor markers inspection is reliable methods to diagnose in early stage. CTA and DSA are the main methods to determine operation methods. Spleen-preserving distal pancreatectomy is the optimal choice because of the importance of spleen in immune function. With the advantages of reduced injury, earlier recovery and less complica- tion, laparoscopie distal pancreatectomy with preservation of the spleen is safe and feasible.
出处
《中华普通外科学文献（电子版）》
2012年第3期15-17,共3页
Chinese Archives of General Surgery(Electronic Edition)
关键词
胰腺切除术
胰腺肿瘤
保留脾脏
Pancretectomy
Pancreatic neoplasms
Spleen-preserving distal pancreatectomy
作者简介
通信作者：史炼钢，Email：sliangang@yahoo．com．cn
