探讨保留脾脏的腹腔镜胰体尾切除术Kimura法治疗脾脏胰体尾端病变患者的安全性  

To investigate the safety of spleen preserving laparoscopic pancreaticotomy with Kimura method in the treatment of patients with spleen and pancreatic tail lesions

作　　者：洪晗 徐小永 金正康 李高超 费强 HONG Han;XU Xiaoyong;JIN Zhengkang;LI Gaochao;FEI Qiang(Hepatobiliary and Pancreatic Surgery Department of Suzhou Hospital Affiliated to Nanjing Medical University,Suzhou Municipal Hospital,Jiangsu Suzhou 215006,China)

机构地区：[1]南京医科大学附属苏州医院苏州市立医院东区肝胆胰外科,江苏苏州215006

出　　处：《临床普外科电子杂志》2022年第3期84-87,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探究保留脾脏的腹腔镜胰体尾切除术Kimura法的治疗效果及安全性。方法回顾性分析2018年1月至2021年12月南京医科大学附属苏州医院收治的脾脏胰体尾端病变32例患者的临床资料。采用保留脾脏的腹腔镜胰体尾切除术Kimura法治疗的20例患者为观察组,采用传统手术治疗的12例患者为参照组,比较两组患者的相关临床指标以及并发症发生情况。结果观察组患者的术中出血量少于参照组,且手术时长、术后下床活动时间、术后排气时间、术后引流时间、住院时长均短于参照组,差异均有显著性(P<0.05);观察组患者的并发症发生率低于参照组(P<0.05)。结论通过应用保留脾脏的腹腔镜胰体尾切除术Kimura法对患者实施治疗的治疗效果较佳,相比传统的手术治疗方式,腹腔镜保留脾脏的胰体尾切除术Kimura法对患者造成的创伤更小,患者的并发症发生风险更低,可有效促进患者的术后恢复。Objective To investigate the efficacy and safety of Kimura method in laparoscopic pancreatectomy with spleen preservation.Method The clinical data of 32 patients with splenopancreatic body caudal lesions treated in Suzhou Hospital Affiliated to Nanjing Medical University from January 2018 to December 2021 were retrospectively analyzed.The 20 patients treated with Kimura method of spleen preserving laparoscopic pancreatectomy were the observation group,and the 12 patients treated with traditional surgery were the reference group.The relevant clinical indicators and complications of the two groups were compared.Result The amount of intraoperative bleeding in the observation group was less than that in the reference group,and the operation time,postoperative ambulation time,postoperative exhaust time,postoperative drainage time and hospitalization time were shorter than those in the reference group(P<0.05);the incidence of complications in the observation group was lower than that in the reference group(P<0.05).Conclusion Kimura method of laparoscopic tail and body pancreatectomy with spleen preservation is more effective in the treatment of patients.Compared with the traditional surgical treatment,Kimura method of laparoscopic tail and body pancreatectomy with spleen preservation causes less trauma and lower risk of complications,which can effectively promote the postoperative recovery of patients.

关 键 词：Kimura法 保留脾脏 腹腔镜 胰体尾切除术 

分 类 号：R47[医药卫生—护理学]