单孔腹腔镜＋胰十二指肠切除术  

The single-port plus laparoscopic pancreaticoduodenectomy

作　　者：陈业盛 孙志为[1] 唐建中[1] 孟春城[1] 李星逾[1] 费振浩[1] Chen Yesheng;Sun Zhiwei;Tang Jianzhong;Meng Chuncheng;Li Xingyu;Fei Zhenhao(Department of Hepatopancreatobiliary Surgery,the First People＇s Hospital of Yunnan Province,the Affiliated Hospital of Kunming University of Science and Technology,Kunming,Yunnan,China)

机构地区：[1]云南省第一人民医院、昆明理工大学附属医院肝胆胰外科,昆明市650032

出　　处：《中华普外科手术学杂志（电子版）》2018年第5期374-374,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：云南省医学领军人才基金资助项目(No.L-2017016);云南省应用基础研究专项基金资助项目[No.2017FE468(-245)]~~

摘　　要：一位49岁男性患者,术前诊断为胰腺占位。置入Trocar后探查肿块未侵犯重要血管。在肝总管下切断胆总管,游离胆囊。游离胰颈部后切断胰腺。切断胃体。切断空肠。继续游离后完整移除整块组织。按照Child法重建消化道。首先找到主胰管并置入胰管支撑管固定后行胰腺断端-空肠端侧吻合术,随后行肝总管-空肠端侧吻合术、胃空肠侧侧吻合术。术毕,时长6.2 h,术中出血约300 ml。术后病检回报为胰腺导管腺癌。A 49 years old gentleman whose preoperative diagnosis was pancreatic neoplasm. During the procedure, the neoplasm did not invade the major blood vessels. The common bile duct was cut off under the common hepatic duct and released together with the gallbladder. The pancreas was removed also. The body of the stomach was cut off simultaneously. Then we cut jejunum. The entire tumor was completely removed . We rebuild the digestive tract flow the Child way. The pancreatic duct was placed into the pancreatic duct tube and fixed to the end of the pancreas and anastomose jejunum of pancreatic duct by end-to-side . Similar procedure was the gastroenterostomy and jejunojejunostomy in the meantime. At the end of the procedure, the duration was about 6 hours and 20 minutes. The intraoperative bleeding was about 300ml. The postoperative pathologic examination was pancreatic ductal adenocarcinoma.

关 键 词：胰腺肿瘤 腹腔镜检查 胰十二指肠切除术 胰管空肠吻合术 

分 类 号：R735.9[医药卫生—肿瘤]