摘要
目的探讨腹腔镜胰体尾切除术（laparoscopic distal pancreatectomy，LDP）治疗胰体尾肿瘤的临床价值。方法2008年6月～2013年6月，行LDP6例，年龄33～76岁，平均45．8岁。其中胰腺体尾部实性占位4例，囊实性占位2例。结果手术均在全腹腔镜下一次成功。手术时间125～365min，平均250min。出血量50～350ml，平均168ml。术后病理报告胰腺浆液性囊腺瘤1例，黏液性囊腺瘤1例，囊腺癌4例。1例术后胰漏，经保持引流通畅、抑制胰酶分泌等保守治疗痊愈。术后住院5～19d，平均7．8d。结论LDP创伤小，术后恢复快，是治疗胰体尾肿瘤安全、可行的方法，但术者需有丰富的腹腔镜手术和胰腺外科手术经验。
Objective To explore the clinical application of laparoscopic distal pancreatectomy （LDP） for tumors in the body or tail of the pancreas. Methods From June 2008 to June 2013, 6 cases of neoplasms in the distal region of the pancreas were treated by LDP in our department. Patients aged from 33 - 76 （average, 45.8）. Results All surgeries were completed successfully under laparoscope, with the average operation time of 250 rain （range, 125 -365 rain）. The average intraoperative blood loss was 168 ml （rang, 50- 350 ml）. Postoperative pathologic results showed 1 case of pancreatic serous cystic adenoma, I case of pancreatic mucinous cystic adenoma, and 4 cases of pancreatic eystadenocarcinoma. There was one minor pancreatic leakage, which recovered by keeping the drainage unobstructed and inhibiting the pancreatic enzyme secretion. The average postoperative hospital stay was 7.8 d （rang, 5 - 19 d）. Conclusions LDP for distal pancreatic neoplasms is feasible, safe and minimally invasive. Highly experienced surgeons are required for open pancreatectomy resection and advanced laparoscopic surgery.
出处
《中国微创外科杂志》
CSCD
2014年第1期69-70,80,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
胰体尾切除术
胰腺肿瘤
Laparoscope
Distal pancreateetomy
Pancreatic tumor
