基层医院开展全腹腔销指肠切除手术10例分析  

Analysis of 10 cases of total laparoscopic pancreaticoduodenectomy in primary hospitals

作　　者：李传光[1] 王介营[1] 王福贻[1] LI Chuan-guang;WANG Jie-ying;WANG Fu-yi(Binzhou Central Hospital,Binzhou 251700,China)

机构地区：[1]滨州市中心医院,山东滨州251700

出　　处：《医师在线》2024年第5期66-69,共4页Journal of Doctors Online

摘　　要：目的研究基层医院开展全腹腔镜胰十二指肠切除手术的安全性及可行性。方法回顾性分析滨州市中心医院2021年1月~2023年5月进行全腹腔镜胰十二指肠切除手术病例。结果2例因腹腔镜探查发现腹腔内转移,需行姑息性手术而被排除。10例顺利完成全腹腔镜胰十二指肠切除手术,手术时长(277.00±23.92)min,术中出血(266.30±125.41)ml;术后1例出现B级胰瘘,1例出现少量胆瘘;术后随访1~14个月,无肿瘤复发。结论全腹腔镜胰十二指肠切除术在基层医院开展是安全、可行的,但需要有开放胰十二指肠切除经验的手术团队,有高清腹腔镜设备和经验丰富的腹腔镜切除及缝合技术。前期可由上级医院教授指导开展。Objective To study the safety and feasibility of total laparoscopic pancreaticoduodenectomy in primary hospitals.Methods A retrospective analysis was conducted on cases of total laparoscopic pancreaticoduodenectomy performed in Binzhou Central Hospital from January 2021 to May 2023.Results 2 cases were excluded because of the need for palliative surgery due to intraperitoneal metastasis found by laparoscopic exploration.Total laparoscopic pancreaticoduodenectomy was successfully completed in 10 cases.The operation duration was(277.00±23.92)min,and the intraoperative bleeding was(266.30±125.41)ml.Postoperative 1 case had grade B pancreatic fistula and 1 case had a small amount of biliary fistula.No tumor recurrence was observed during 1~14 months of follow-up.Conclusion It is safe and feasible to carry out total laparoscopic pancreaticoduodenectomy in primary hospitals,but surgical teams with experience in open pancreaticoduodenectomy,high-definition laparoscopic equipment,and experienced laparoscopic resection and suture techniques are required.At the early stage,it can be carried out under the guidance of professors in superior hospitals.

关 键 词：腹腔镜 胰十二指肠切除术 胰瘘 胆瘘 腹腔出血 并发症 

分 类 号：R73[医药卫生—肿瘤]