保留脾脏及供应血管胰体尾切除治疗胰腺断裂伤18例报道  

Spleen-preserving distal pancreatectomy： 18 cases report

作　　者：蒋国庆 柏斗胜 钱建军 姚捷 金圣杰 王小东 张弛 

机构地区：[1]扬州大学临床医学院肝胆外科,扬州225001

出　　处：《国际外科学杂志》2014年第1期29-31,共3页International Journal of Surgery

摘　　要：目的 探讨保留脾脏胰体尾切除治疗胰腺体尾部断裂伤的临床可行性和效果.方法 对扬州大学临床医学院2008年3月-2012年11月实施保留脾脏胰体尾切除治疗胰腺断裂伤18例患者的临床资料进行回顾性分析评价.结果 18例患者均能顺利施行保留脾脏胰体尾切除.手术时间152 ～188 min,平均172 min;术中出血量155 ～356 mL,平均191 mL;住院时间为13～19 d,平均15 d.无术后大出血、胰漏、腹腔感染等严重术后并发症.结论 保留脾脏胰体尾切除治疗胰腺体尾部断裂伤减少了“无辜性脾切除”,是一种保全脏器功能效果较好、安全可行的手术方式.Objective To explore the feasibility and effect of spleen-preserving distal pancreatectomy in patients with distal pancreatic injures and its outcome.Methods Retrospectively analysed the follow up results of 18 patients undergoing spleen-preserving distal pancreatectomy in Clinical Medical College of Yangzhou University from March 2008 to November 2012.Results The operations were successful in all of these 18 patients,B-mode ultrasonography and CT scan follow-up revealed that there were no significant changes in the size and structure of the spleens.The operation time was 152 to 188 minutes （mean,172 minutes）,and the intraoperative blood loss was 155 to 356 mL （mean,191 mL）.The length of postoperative hospital stay was 13 to 19 days （mean,15 days）.No bleeding after operation,no pancreatic leakage,and no intraabdominal infection occurred.Conclusions Distal pancreatectomy with spleen and supply vessel preserving is effective and feasible methods for the patients with distal

关 键 词：胰体尾切除术 脾 胰腺 损伤 治疗结果 

分 类 号：R657.5[医药卫生—外科学]