腹腔镜保留脾脏胰腺体尾部切除术治疗胰体尾良性肿瘤的效果及对术后并发症的影响  

Curative effect of laparoscopic resection of pancreatic body and tail sparing and its influences on postoperative complications in benign pancreatic tumor

作　　者：黎焕 曾志峰 曾三平 艾露 LI Huan;ZENG Zhifeng;ZENG Sanping;AI Lu(Department of Hepatobiliary Surgery,Xinyu People's Hospital,Xinyu,Jiangxi,338000,China)

机构地区：[1]新余市人民医院肝胆外科,江西新余338000

出　　处：《当代医学》2024年第8期61-64,共4页Contemporary Medicine

摘　　要：目的探讨腹腔镜保留脾脏胰体尾部切除术(LSPDP)治疗胰体尾良性肿瘤的效果及对术后并发症的影响。方法选取2014年3月至2021年3月新余市人民医院收治的78例胰体尾良性肿瘤患者作为研究对象,根据手术方式的不同分为观察组(n=46)与对照组(n=32)。观察组予以LSPDP治疗,对照组予以开腹保留脾脏的胰腺体尾部切除术治疗。比较两组手术相关指标(术中出血量、手术时间、术中输血次数、术后恢复情况(住院时间、肛门排气时间及首次进食时间)、疼痛程度[视觉模拟评分法(VAS)]、实验室指标[血清淀粉酶(AMS)、血小板(PLT)及白细胞(WBC)数目]及治疗期间并发症发生情况。结果观察组术中出血量少于对照组,肛门排气时间、首次进食时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。术后2、4、6h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。治疗后,两组AMS、WBC、PLT水平均低于治疗前,差异有统计学意义(P<0.05),但两组间比较差异无统计学意义。观察组术后并发症发生率为15.22%,低于对照组的34.38%,差异有统计学意义(P<0.05)。结论腹腔镜下的保脾切除术有利于促进患者术后恢复,缓解患者术后疼痛,降低并发症发生率,值得临床推广应用。Objective To explore the curative effect of laparoscopic resection of pancreatic body and tail sparing(LSPDP)and its influences on postoperative complications in benign pancreatic tumor.Methods A total of 78 patients with benign pancreatic tumors from March 2014 and March 2021 in Xinyu People's Hospital were enrolled as the research subjects,they were divided into the observation group(n=46)and the control group(n=32)according to different surgical methods.The observation group was treated with LSPDP,while the control group was treated with open splen-ic resection.The surgery related indexes(intraoperative blood loss,operation time,frequency of intraoperative blood transfusion),postoperative re-covery(length of hospital stay,anal exhaust time,the first eating time),pain degree(visual analogue scale[VAS]),laboratory indexes(serum amylase[AMS],platelet[PLT]count,white blood cell[WBC]count)and complications during treatment were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,anal exhaust time,the first eating time and length of hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).At 2,4 and 6 h after surgery,VAS scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,levels of AMS,WBC and PLT were lower than those before treatment,the differences were statistically significant(P<0.05),but there was no signif-icant difference between the two groups.The incidence of postoperative complications in the observation group was 15.22%,which was lower than 34.38%in the control group,the difference was statistically significant(P<0.05).Conclusion LSPDP is beneficial to promote postoperative recov-ery,relieve postoperative pain and reduce the incidence of complications,which is worthy of clinical promotion and application.

关 键 词：胰体尾良性肿瘤 腹腔镜保留脾脏胰腺体尾部切除术 并发症 术后恢复 

分 类 号：R735.9[医药卫生—肿瘤]