腹腔镜胰腺囊腺瘤切除术5例体会  

Laparoscopic distal pancreatectomy for pancreatic cystic tumor(Report of 5 cases)

作　　者：刘兴国[1] 毕伟才 冉凌[1] 李朝龙[3] 张永久[1] 

机构地区：[1]兰州军区乌鲁木齐总医院普通外科,新疆乌鲁木齐830000 [2]湖南省桃江人民医院外科,湖南桃江413400 [3]南方医科大学南方医院肝胆血管外科,广东广州510515

出　　处：《中国内镜杂志》2007年第10期1066-1068,共3页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜胰体尾切除术(laparoscopic distal pancreatectomy,LDP)治疗胰体尾囊腺瘤的临床价值。方法对2003年2月～2006年4月5例胰体尾囊腺瘤进行了LDP,年龄27～43岁,平均32.8岁,并对其病例资料进行分析。结果手术均在全腹腔镜下一次成功完成,手术时间95～430min,平均258min,出血量50～300mL,平均140ml。术后病理:浆液性囊腺瘤1例,黏液性囊腺瘤4例。1例发生胰漏,经保守治疗后痊愈。住院时间7～15d,平均住院时间6.8d。随访至2006年10月无复发。结论有选择性地对胰体尾囊腺瘤进行LDP是安全、可行的,且具有创伤小、对患者生理状态干扰轻及术后恢复快等优点。[Objective] To explore the clinical application of laparoscopic distal pancreatectomy （laparoscopic distal panereateetomy, LDP） for cystic tumor in the body or tail of the pancreas. [Methods] From Feb. 2003 to Apr. 2006, 5 eases with cystic tumor in the distal region of the pancreas were treated by LDP in our department. The mean age was 32.8（rang： 27-43） years. [Results] All of the operations were completed successfully using laparoscopie procedure,with an average operation time of 258 （rang： 95-430） min and a mean intraoperative blood loss of 140 （rang： 50-300） mL. Histopathological diagnosis was 4 eases pancreatic myxedema and 1 ease pancreatic serous cystoma. There was one minor pancreatic leak, which resolved conservatively. The median postoperative hospitalization was 6.8 （rang： 7-15） days. [Conclusions] LDP for distal pancreatic cystic tumor is feasible, the procedure appears to be safe, and it is acccompanied by an accelerated recovery.

关 键 词：腹腔镜 胰体尾切除术 胰腺囊腺瘤 

分 类 号：R657.6[医药卫生—外科学]