腹腔镜胰腺远端切除术在胰岛素瘤治疗中的应用  

Application of laparoscopic distal pancreatectomy for treatment of insulinoma

作　　者：周景师[1] 于恒超[1] 刘正才[1] 汪庆强 何勇[1] 杨雁灵[1] 李海民[1] 

机构地区：[1]第四军医大学附属西京医院肝胆胰脾外科,西安710032

出　　处：《中华内分泌外科杂志》2017年第3期188-191,共4页Chinese Journal of Endocrine Surgery

基　　金：国家自然科学基金（81672339）

摘　　要：目的探讨腹腔镜胰腺远端切除术在胰岛素瘤治疗中的安全性和疗效。方法回顾性分析西京医院2015年4月到2017年4月8例胰岛素瘤行腹腔镜胰腺远端切除术的临床资料。结果所有患者均在术前通过增强CT、增强MRI或生长抑素受体显像（somatostatin receptor scintigraphy，SRS）确定胰腺体尾部占位病变。采取腹腔镜胰腺远端切除术，7例保留脾血管和脾脏，1例联合脾切除，平均手术时间（159±44）min，平均出血量（125±119）ml，平均术后住院时间（5.5±1.4）d，发生B级胰瘘1例。全部患者术后血糖恢复正常。结论腹腔镜胰腺远端切除术治疗胰体尾部胰岛素瘤安全有效，创伤小，恢复快，保脾成功率高。ObjectiveTo evaluate the safety and efficacy of laparoscopic distal pancreatectomy in treatment of insulinoma.MethodsClinical data of 8 cases of insulinoma treated by laparoscopic distal pancreatectomy from Apr. 2015 to Apr. 2017 were retrospectively reviewed.ResultsLocations of the insulinoma in distal pancreas were all identified preoperatively by enhanced CT, MRI or somatostatin receptor scintigraphy （SRS） . Laparoscopic distal pancreatectomy was applied to 8 cases, including combined splenectomy to 1 case. The operation time, bleeding volume, and postoperative hospital stay was （159±44） min, （125±119） ml and （5.5±1.4） days, respectively. Grade B fistula happened to one patient after surgery. The level of postoperative blood glucoses was normal in all cases.ConclusionLaparoscopic distal panreatectomy is safe, effective, and less invasive in treating insulinoma, with quick recovery and high efficacy in spleen preservation.

关 键 词：胰岛素瘤 腹腔镜远端胰腺切除 微创手术 保留脾脏 

分 类 号：R736.7[医药卫生—肿瘤]