腹腔镜保留十二指肠胰头切除术初步体会  

Preliminary experience of laparoscopic duodenum preserving pancreatic head resection

作　　者：周陈杰[1] 王杰钦 廖晖 张健民[1] 徐小平[1] 高毅[1] Zhou Chenjie;Wang Jieqin;Liao Hui;Zhang Jianmin;Xu Xiaoping;Gao Yi(Department of Hepatobiliary SurgeryⅡ,Zhujiang Hospital,Southern Medical University,Guangzhou 510280,China)

机构地区：[1]南方医科大学珠江医院肝胆二科

出　　处：《中华腔镜外科杂志（电子版）》2019年第4期246-249,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的总结腹腔镜保留十二指肠胰头切除术(laparoscopic duodenum preserving pancreatic head resection,LDPPHR)的经验。方法回顾性分析2019年3月南方医科大学珠江医院肝胆二科1例行LDPPHR患者的临床资料。结果患者顺利完成手术,手术时间280 min,术中出血量50 ml,未予输血。术后出现胆漏,予保守治疗后痊愈。无术后出血、胰漏、十二指肠瘘、胆总管狭窄等并发症。术后病理报告显示胰头慢性炎。结论LDPPHR对于胰头良性病变的治疗是安全的、可行的,具有创伤小、恢复快、改善患者术后生活质量等优点,值得临床推广应用。Objective To summarize our experience of laparoscopic duodenum preserving pancreatic head resection(LDPPHR).Methods The clinical datas of a patient undergoing LDPPHR in Department of Hepatobiliary SurgeryⅡ,Zhujiang Hospital,Southern Medical University in Mar.2019 were analyzed retrospectively.Results The operation was successfully completed.The operation time was 280 min.The intraoperative blood loss was 50 ml,without blood transfusion.Bile leakage occurred after operation and was cured after conservative treatment.There were no postoperative bleeding,pancreatic leakage,duodenal fistula,choledochal stricture and other complications.Postoperative pathological report showed chronic inflammation of the pancreatic head.Conclusions LDPPHR is safe and feasible for the treatment of benign lesions of pancreatic head.It has the advantages of less trauma,faster recovery and improvement of postoperative quality of life.Therefore,LDPPHR is worth popularizing.

关 键 词：腹腔镜 保留十二指肠胰头切除术 胰头慢性炎 

分 类 号：R65[医药卫生—外科学]