内镜胰管探查在精准胰腺导管内乳头状黏液瘤切除术中的应用  

Application of endoscopic pancreatic duct exploration in precise pancreatectomy for intraductal papillary mucinous neoplasms

作　　者：尚东[1] 张庆凯[1] 张桂信[1] 

机构地区：[1]大连医科大学附属第一医院普通外科(辽宁省胆胰疾病中西医结合治疗中心),116011

出　　处：《中华消化外科杂志》2012年第4期362-365,共4页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金（81072918）;辽宁省医学高峰建设工程项目（ZX201004）

摘　　要：随着影像学和内镜技术的进展，近年来，越来越多的胰腺囊性肿瘤被诊断为胰腺导管内乳头状黏液瘤（intraductal papillary mucinousneoplasms，IPMNs）。如何规范IPMNs的诊断和治疗，特别是手术范围的界定，保证胰管切缘的阴性，对于防止复发很重要。而术中行内镜检查胰管内壁情况则对手术切除范围起到重要的指导作用。我们行术中内镜胰管探查，指导精准胰腺手术切除混合型IPMNs1例，效果良好。The diagnostic rate of intraductal papillary mucinous neoplasms （IPMNs） has been increased as the improvement of imaging and endoscopic techniques. All main duct type and mixed variant IPMNs should be resected as long as the patient is a good surgical candidate with reasonable life expectancy. Evaluation of resection margin （ especially circum-ferential margins） is very important to prevent the recurrence of IPMNs, and intraoperative pancreatoscopy plays an important role in determining the appropriate size for pancreatic resection. In this article, the experience in the treatment of 1 patient with IPMNs by precise pancreatectomy guided by endoscopy-assisted intraoperative pancreatic duct inspection was introducted.

关 键 词：胰腺肿瘤 胰腺切除术 内镜检查 

分 类 号：R735.9[医药卫生—肿瘤]