腹腔镜胆囊切除漏诊胰腺癌分析  

ANALYSIS OF MISSED DIAGNOSIS OF PANCREATIC CANCER DURING LAPAROSCOPIC CHOLECYSTECTOMY

作　　者：金小顺[1] 赵怀辉[1] 章敢[1] 范晓黎[1] 

机构地区：[1]滁州市第一人民医院,滁州239000

出　　处：《肝胆外科杂志》2009年第2期115-117,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨腹腔镜胆囊切除术漏诊胰腺癌的原因、术中探查胰腺的指针、漏诊后的早期诊断、治疗方式的选择。方法回顾性分析1995年5月至2007年12月我院LC手术或外院手术后转入我院6例漏诊胰腺癌的临床资料,并对之进行随访。结果LC术后至再次就诊的时间为15 d至4个月,平均58天。再次手术确诊后随访生存时间2~13个月,平均4.5个月。结论LC术前完善检查,重视高危人群的检测,术中明确探查胰腺的指征,是减少漏诊的重要措施。Objective To investigate the eauses of the missed diagnosis of panereatie eaneer,the indication of exploring panereas during laparoseopie eholeeysteetomy, the early diagnosis after operation and selection of retreatment methods. Methods Clinical data of 6 patients who were missed diagnosis of pancreatic cancer during LC from May 1995 to December 2007 in our hospital were retrospectively analyzed and followed up. Results The time for revisit after operation was 15 days to 4 months, and the mean time was 58 days. The survival time after reoperation was 2 to 13 months and mean survival time was 4. 5 months. Conclusion The main measures to decrease missed diagnosis for pancreatic cancer during LC are to complete preoperative cheek-ups to think highly of early diagnosis among high-risk group and to identify the indication of exploring pancreas during the operation.

关 键 词：胰腺癌 腹腔镜胆囊切除术 

分 类 号：R731.9[医药卫生—肿瘤]