层面优先法在腹腔镜胰体尾切除术中的应用  

Application of"plane first"approach in laparoscopic distal pancreatectomy

作　　者：彭伟 魏丹 屈士斌 刘正才 周景师 杨诏旭 PENG Wei;WEI Dan;QU Shibin(Department of Hepatobiliary Surgery,Xijing Hospital,Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学第一附属医院肝胆胰脾外科,陕西西安710032

出　　处：《腹腔镜外科杂志》2024年第7期487-491,501,共6页Journal of Laparoscopic Surgery

基　　金：国家自然科学基金青年项目(82203443);中国博士后科学基金特别资助(2023TQ0142)。

摘　　要：目的:探讨层面优先法在腹腔镜胰体尾切除术中的可行性及安全性。方法:回顾分析2021年3月至2022年3月行腹腔镜保脾胰体尾切除术与腹腔镜胰体尾脾切除术的81例患者的临床资料,对比传统手术入路,观察层面优先法手术时间、术中出血量及并发症。结果:81例手术均成功完成,无中转开腹。层面优先法腹腔镜保脾胰体尾切除术与腹腔镜胰体尾脾切除术的手术时间短、术中出血量少于常规入路法同种术式,差异有统计学意义。结论:层面优先入路在腹腔镜胰体尾切除术中具有更好的操作性,可有效缩短手术时间、减少术中出血量,是安全、可行的。Objective:To investigate the feasibility and safety of the"plane first"approach in laparoscopic distal pancreatectomy.Methods:Clinical data of 81 patients with local lesions in the body and tail of the pancreas who underwent laparoscopic spleen-preserving distal pancreatectomy and distal pancreatectomy combined with splenectomy from Mar.2021 to Mar.2022 were retrospectively analyzed.The operation time,intraoperative blood loss and postoperative complications of the"plane first"method were observed and compared with traditional surgical approach.Results:All 81 patients successfully underwent distal pancreatectomy without conversion to open surgery.The operative time and intraoperative blood loss of the laparoscopic spleen-preserving distal pancreatectomy and distal pancreatectomy combined with splenectomy in the"plane first"approach were shorter/fewer than the conventional approach,the diffe-rences were significant.Conclusions:The"Plane first"approach has better operability in laparoscopic distal pancreatectomy,which can effectively decrease the operative time and intraoperative blood loss,and is safe and feasible.

关 键 词：胰体尾切除术 腹腔镜检查 层面优先法 

分 类 号：R657.5[医药卫生—外科学]