小切口辅助腹腔镜保脾胰体尾切除术9例分析  

Analysis of 9 cases with the small incision-assisted laparoscopic distal pancreatectomy with Splenic Conservation

作　　者：王振峰[1] 贾树范[1] 李树亮[1] 刘淑会[1] 

机构地区：[1]山东省聊城市第二人民医院,252000

出　　处：《中国临床实用医学》2010年第6期223-224,共2页China Clinical Practical Medicine

摘　　要：目的探讨小切口辅助腹腔镜保脾胰体尾切除术的手术方式及其优点。方法对本院2005年6月至2009年6月9例胰体尾部良性占位性病变患者实施小切口辅助腹腔镜保脾胰体尾切除术的临床资料进行回顾性分析。结果本组9例均行小切口辅助腹腔镜保脾胰体尾切除术，本组手术时间120—200min；出血量150—400ml，术后住院时间3—9d；术后无胰瘘、出血等并发症发生；随访6—48个月，手术效果满意，原有症状消失，未见复发。结论小切口辅助腹腔镜胰体尾切除术具有创伤小、恢复快、并发症少等优点，在避免无辜性脾切除中有重要意义。Objective The advent of minimally invasive techniques was marked by a paradigm shift towards the use of laparoscopy for benign distal pancreatic masses. We describe one center＇ s experience with small incision-assisted laparoscopic distal panereatectomy with splenic conservation. Methods A retrospective review was performed for all small incision-assisted laparoscopie distal panereatectomy from June 2005 to June 2009. Results All of the cases were performed the small incision-assisted laparoscopie distal pancreatectomy with splenic conservation, the operating time was from 120 -200 min, the blood loss was 150 ~ 400 rrd, the post- operative stay was from 3 to 9 days. There were no postoperative complications such as pancreatic fistula and hemorrhage. With a follow-up of 6-48 months ,the surgical effects were ideal, the symptoms were disappeared and no recurrence occurred. Conclusion The small incision-assisted laparoscopic distal panereatectomy with Splenic Conservation is a safe operation with a low morbidity, and has the significance for the avoidance of innocent splenectomy.

关 键 词：胰腺肿瘤 腹腔镜 胰腺切除术 脾 

分 类 号：R735.9[医药卫生—肿瘤]