胰体尾部肿瘤切除50例临床疗效分析  

Clinical Effects of Laparoscopic Surgery on the Removal of Tumors on Tail of Pancreas

作　　者：刘永存 郭成[2] 周辉[3] 

机构地区：[1]陕西省咸阳市第一人民医院,陕西咸阳712000 [2]西安交通大学第一附属医院肝胆外科,陕西西安712000 [3]解放军第404医院胃肠肝胆外科,山东威海264200

出　　处：《医学临床研究》2016年第10期1949-1951,共3页Journal of Clinical Research

摘　　要：[目的]探讨腹腔镜下手术切除胰腺体尾部肿瘤的临床效果及方法。[方法]选取本院手术切除的胰腺体尾部肿瘤患者50侧临床资料进行回顾性分析，50例中27侈6采取腹腔镜手术（腹腔镜组）、23倒采取开腹手术治疗（开腹组），比较两组患者的围手术期及术后并发症发生情况。[结果]腹腔镜组和开腹组患者的手术时间、输血率相比较差异均无显著性（P〉0．05）；腹腔镜组患者的术中出血量、切口长度、术后镇痛率、术后排气时闯、进食时间、住院时间均显著低于开腹组（P〈0．05）；腹腔镜组的手术并发症发生率为18．52％（5／27），显著低于开腹组47．83％（11／23），且差异具有显著性（χ^2=4．90，P〈0．05）。[结论]腹腔镜下手术切除胰腺体尾部肿瘤具有患者恢复快、并发症少的优势。[Objective]To explore the clinical effects of laparoscopic surgery on the removal of tumors on the tail of the pancreas. [Methods]Fifty cases of pancreatic cancer patients who underwent pancreatic tail resection in our hospital were retrospectively analyzed. Of the 50 total patients, 27 had laparoscopic surgery （laparoscopic group）, and 23 patients had laparotomy （abdomen-open group）. The perioperative and postoperative complications were compared between the two groups of patients. [Results]The operative time and transfusion rates were not significantly different between the two groups （ P 〉0.05）. The blood loss, incision length, postoperative analgesia rate, postoperative exhaust time, eating time, and hospital stay were significantly lower in the laparoseopic patients than in the laparotomy patients （ P 〈0.05）. Complication rates in laparoscopic patients （18.52%） were significantly lower than in the laparotomy patients （47.83%） （χ^2=4.903, P 〈0.05）. [Conc[usionlLaparoscopic resection of cancer tumors on the pancreatic tail results in faster recovery time and fewer postoperative complications.

关 键 词：腹腔镜检查 胰腺切除术/方法 胰腺肿瘤/外科学 治疗结果 

分 类 号：R735.9[医药卫生—肿瘤]