经脐单孔腹腔镜胰尾切除术  

Transumbilical single-incision laparoscopic distal pancreatectomy

作　　者：吴硕东[1] 姚殿波[1] 陈永生[1] 

机构地区：[1]中国医科大学附属盛京医院普外科,沈阳110004

出　　处：《中华普外科手术学杂志（电子版）》2014年第1期35-35,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：辽宁省科学计划项目(2005225007)

摘　　要：单孔腹腔镜技术是近年来刚刚兴起的一种微创新技术,可达到接近"无瘢痕手术"的效果,具有更好的微创和美容疗效。由于单孔的限制,手术的操作难度增加,同时在操作技巧方面也表现出一些独有的特点。单孔腹腔镜技术在胰腺手术中应用的相关报道仍较少,临床经验缺乏。截至目前为止,我科共试行单孔腹腔镜胰体尾切除术14例,其中保留脾脏9例,联合脾切除5例。除1例患者因胰尾囊肿与周围粘连严重中转为多孔手术,其余手术均顺利完成。我们的临床经验提示,经脐单一部位腹腔镜胰体尾切除术是可行的。对于有经验的单孔腹腔镜外科医生来说,在适当的病例中,开展单孔腹腔镜胰腺手术是一个安全而且理想的选择。Single-incision laparoscopic surgery （SILS）, an emerging technique in the field of minimally invasive surgery has been recognized as a nearly ＂no scar＂ surgery, with less invasion and better cosmetic effect. Due to the limitation of single entrance, SILS is manipulatively difficult, and the operating skills also show some unique features. At present, SILS for pancreatic lesions is rather rare, and the experience with SILS in pancreatic surgery is also limited. In our department, only 14 patients underwent TUSI-LDP. Laparoscopic distal pancreatectomy with splenectomy was performed in 5 patients, and spleen-preserving laparoscopic distal pancreatectomy in 9 patients. TUSI-LDP was successfully performed in 10 patients, and it was conversed to conventional multi-incision surgery because of severe adhesion between pancreatic cyst and surrounding tissues. Our experiences suggest that SILS in pancreatic surgery is feasible. For experienced SILS surgeons, SILS may be a safe and ideal option, especially for some well-selected patients.

关 键 词：腔镜镜检查 胰腺切除术 外科手术 微创性 

分 类 号：R657.5[医药卫生—外科学]