腹腔镜胰体尾切除术15例初步体会  

Preliminary experience of laparoscopic distal pancreatectomy in hepatobiliary surgery: a report of 15 cases

作　　者：周标[1] 刘双海[1] 陈胜[1] 周一夫[1] 汤晓东[1] 

机构地区：[1]东南大学附属江阴人民医院肝胆外科,江阴214400

出　　处：《中华腔镜外科杂志（电子版）》2015年第3期38-40,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜胰体尾切除术（LDP）治疗胰腺体尾部病变的临床应用。方法2012年5月至2015年5月,对15例胰腺体尾部病变的患者行LDP,其中术前诊断为胰腺体尾部良性肿瘤13例,恶性肿瘤2例;病变直径2~4 cm,平均病变直径（3.3±0.8）cm。结果 13例在完全腹腔镜下完成手术,1例在手辅助腹腔镜下完成,1例中转开腹;手术时间180~310 min,平均手术时间（214.6±12.5）min;出血量100~800 ml,平均出血量（235.4±30.6）ml;术后住院时间6~10 d,平均术后住院时间（7.2±1.3）d;4例发生胰漏,经保守治疗痊愈。结论具有熟练腹腔镜技术、在开腹胰体尾切除术经验保障下,开展LDP是安全可行的。Objective To explore the clinical application of laparoscopic distal pancreatectomy（ LDP） for pathology in the body or tail of the pancreas. Preoperative diagnoses were： 13 cases with benign masses and 2 cases with cancer malignancy. They were ranged from 2-4 cm,an average of（ 3. 3 ± 0. 8） cm.Methods From May 2012 to May 2015,15 cases of neoplasms in the distal region of the pancreas were treated by LDP. Results 13 patients were completed successfully using laparoscopic procedure,and1 cases was completed using hand-assisted laparoscopic,and 1 cases was converted to open operation. There were average operation time of（ 214. 6 ± 12. 5） min（ 180-310 min） and a mean intraoperative blood loss of（ 235. 4 ± 30. 6） ml（ 100-800） ml. The median postoperative hospitalization was（ 7. 2 ± 1. 3） days（ 6-10）days. There were four minor pancreatic leak,which resolved conservatively. Conclusions Under the guarantee of practiced laparoscopic procedure and distal pancreatectomy,LDP is safe and feasible.

关 键 词：腹腔镜 胰体尾切除术 保脾 

分 类 号：R657.5[医药卫生—外科学]