腹腔镜保留十二指肠胰头切除术后并发症分析  

Analysis of surgical complications after laparoscopic duodenum-preserving pancreatic head resection for noncancerous lesions

作　　者：柴伟[1] 张执全[1] 雷豹[1] 袁俊建[1] 孟宇[1] 赵秀雷[1] 张雷[1] 刘汝海[1] Wei Chai;Zhiquan Zhang;Bao Lei;Junjian Yuan;Yu Meng;Xiulei Zhao;Lei Zhang;Ruhai Liu(Department of General Surgery,Cangzhou Central Hospital,Cangzhou 061000,China)

机构地区：[1]沧州市中心医院普通外科,沧州061000

出　　处：《中华普通外科杂志》2022年第6期443-446,共4页Chinese Journal of General Surgery

摘　　要：目的分析总结腹腔镜保留十二指肠的胰头切除术(laparoscopic duodenum-preserving pancreatic head resection,LDPPHR)后常见并发症及预防治疗措施。方法回顾性分析沧州市中心医院普外科2018年6月至2021年6月期间完成的32例LDPPHR患者的临床资料。探讨术后并发症发生情况,并针对并发症的预防及处理措施进行分析和总结。结果32例患者均成功实施LDPPHR,术后并发症发生率为21.9%(7/32),其中包括严重并发症3例(1例术后长期胰瘘、1例术后十二指肠乳头狭窄致梗阻性黄疸、1例术后腹腔出血),均行二次手术治愈;轻微并发症4例,均为单纯性胰瘘,延长带管时间治愈。结论LDPPHR治疗胰头部良性病变技术上可行,但手术难度大,风险高,患者远期生存质量有待评价。Objective To analyze the common complications of laparoscopic duodenum-preserving pancreatic head resection(LDPPHR).Methods The clinical data of 32 patients undergoing LDPPHR from Jun 2018 to Jun 2021 in Cangzhou Central Hospital were analyzed retrospectively.Results LDPPHR was successfully performed in all 32 patients without conversion to open surgery.The incidence of postoperative complications was 21.9%(7/32),3 cases suffering from sever complications(1 case of long-term postoperative pancreatic fistula,1 case of obstructive jaundice caused by duodenal papilla stenosis,1 case of postoperative abdominal bleeding)were cured by laparotomy;4 cases of minor complications were simple pancreatic fistula,which were cured by prolonging dranage.Conclusions LDPPHR is technically feasible for isolated noncancerous lesions within pancreatic head and uncinate process,the complications were manageable.Its suggested benefits remain to be established by long term follow-up.

关 键 词：胰腺切除术 十二指肠 腹腔镜 并发症 

分 类 号：R657.5[医药卫生—外科学]