腹腔镜下保留脾脏的胰体尾切除术23例  

Twenty-three cases of Laparoscopic Spleen-preserving Distal Pancreatectomy

作　　者：胡浩[1] 金昌国[1] 欧阳才国[1] 吴振宇[1] 秦玉刚[1] 艾向南[1] 

机构地区：[1]航天中心医院肝胆外科,北京100049

出　　处：《肝胆外科杂志》2015年第3期173-175,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨完全腹腔镜下保留脾脏的胰体尾切除术在治疗胰腺体尾部占位的安全性、可行性及操作技巧。方法2008年6月至2013年4月,我院对23例胰体尾良性肿瘤病人施行腹腔镜下保留脾脏的胰体尾切除术,男性7例,女性16例,平均年龄42.4岁。按Kimura法完成13例,按Warshaw法完成10例。结果全部23例无一例中转开腹。平均手术时间253 min;平均出血量245 ml;术后平均住院日7.3天;平均随访期46.3月。无一例复发。结论对胰体尾部的良性肿瘤行腹腔镜下保留脾脏的胰体尾切除术是安全可行的。Objective To discuss the safety, feasibility, and operational skills of spleen-preserving laparoscopic distal pancreatectomy （SPLDP） in the treatment of pancreatic tumors in the body and tail of the pancreas. Methods A retrospective analysis was performed on the medical records of 23 patients who underwent SPLDP at Aerospace Center Hospital between June 2008 and April 2013, including 7 male cases and 16 female cases with the mean age of 42.4 years. Thirteen patients were managed by Kimura technique and Warshaw technique was performed on the rest 10 patients. Results All 23 cases were successfully performed with no convertion to open surgery. The mean operative time was 253 min; the mean blood loss was 245 ml; the mean length of postoperative hospital stay was 7.3 days ; the mean follow-up time was 46.3 months, and no recurrence was evident during follow-up. Conclusions SPLDP is safe and feasible in the treatment of benign tumors sited at the body and tail of pancreas.

关 键 词：胰腺肿瘤 腹腔镜检查 胰腺切除术 脾 

分 类 号：R657.5[医药卫生—外科学]