腹腔镜保留脾脏胰体尾切除术:微创胰腺外科的合理决策  

Laparoscopic spleen-preserving distal pancreatectomy:rational decision-making in minimally invasive pancreatic surgery

作　　者：李澄清 郭文毅 王磊[1] Li Chengqing;Guo Wenyi;Wang Lei(Department of Pancreatic Surgery,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院胰腺外科,济南250012

出　　处：《中华肝脏外科手术学电子杂志》2024年第5期620-624,共5页Chinese Journal of Hepatic Surgery(Electronic Edition)

基　　金：山东大学横向项目(6010122078)

摘　　要：腹腔镜保留脾脏的胰体尾切除术(LSPDP)的安全性和可行性已被证实,其凭借创伤小、恢复快等优点,现已成为胰体尾部良性和低度恶性肿瘤的理想手术方式,并在各级胰腺中心常规开展。根据术中脾血管的处理方法,LSPDP可分为离断脾动静脉的Warshaw术式和保留脾动静脉的Kimura术式。但目前在临床上,对于LSPDP的适应证和保脾方式的选择仍存有争议。本文重点介绍了LSPDP近年来的进展,结合笔者团队的经验,帮助选择合理的保脾术式,为患者制定个体化治疗方案。The safety and feasibility of laparoscopic spleen-preserving distal pancreatectomy(LSPDP)have been validated.Due to the advantages of mild trauma and rapid recovery,LSPDP has become an ideal surgical method for benign and low-grade malignant pancreatic body and tail tumors,and it has been routinely carried out in pancreatic centers at all levels.According to intraoperative treatment methods of splenic vessels,LSPDP can be divided into Warshaw technique without splenic vessel preservation and Kimura technique with splenic vessel preservation.However,the indications of LSPDP and the selection of spleen preservation approaches remain controversial.In this article,recent progress in LSPDP was illustrated and clinical experience of our team was shared,aiming to provide evidence for selecting a reasonable spleen-preserving procedure and making individualized treatment regimens for the patients.

关 键 词：远端胰腺切除术(DPS) 保留脾脏的胰体尾切除术(SPDP) 腹腔镜 机器人辅助的保留脾脏的胰体尾切除术(RSPDP) Kimura术 Warshaw术 术后并发症 

分 类 号：R657.5[医药卫生—外科学]