胰头下部切除术5例临床分析  

Inferior head resection of the pancreas: A clinical analysis of 5 cases

作　　者：朱亚运[1] 高洋[1] 黄修燕[1] 王洪成[1] 黄新余[1] 郑起[1] 袁周[1] 

机构地区：[1]上海交通大学附属第六人民医院普外科,上海200233

出　　处：《中国实用外科杂志》2017年第8期900-902,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨胰头下部切除术的手术技巧及临床应用。方法回顾性分析2014年4月至2016年5月上海交通大学附属第六人民医院5例行胰头下部切除术病人临床资料。结果 5例病人术后病理学检查报告提示1例胰岛素瘤、1例胰腺实性假乳头状瘤和3例胰腺导管内乳头状瘤。术后发生A级胰瘘2例、B级胰瘘2例,合并腹腔内出血1例,胃排空障碍2例,没有胆瘘和术后急性胰腺炎发生。结论胰头下部切除术适用于胰头良性或低度恶性肿瘤,且具有保留更多胰腺组织和损伤小的优点。Objective To discuss the surgical techniques and clinical application of the inferior head resection of the pancreas. Methods The clinical data of five patients received inferior head resection of the pancreas from April, 2014 to May, 2016 in Department of Surgery, Shanghai Jiaotong University Affiliated Sixth People＇ s Hospital were analyzed retrospectively. Results Postoperative pathological findings indicated one patient with insulinoma, one with solid pseudopapillary tumor of the pancreas （SPTP）, and three with intra-ductal papillary tumor. Grade A pancreatic fistula occurred in two patients and grade B in the other two. Bleeding within abdominal cavity was observed in the rest one patient. Gastric emptying dysfunction was observed in two patients. No such complications as bile leakage and postoperative acute pancreatitis were found in all patients. Conclusion Inferior head resection of the pancreas has such advantages of causing less harm and preserving more pancreatic tissue and over the traditional Whipple procedure. Thus it is practical for patients with benign or low-degree malignant occurring at the head of the pancreas.

关 键 词：胰头下部切除术 胰腺实性假乳头状瘤 胰腺导管内乳头状瘤 胰腺神经内分泌肿瘤 胰瘘 

分 类 号：R6[医药卫生—外科学]