| 摘要: |
| ［摘要］ 目的 介绍腹腔镜胰腺区段切除术的手术技术，分析其安全性、可行性和疗效。方法 对2017-03～2017-10广西壮族自治区人民医院肝胆胰脾外科施行的腹腔镜保留十二指肠胰头切除术、腹腔镜胰腺中段切除术和腹腔镜保脾胰尾切除术各1例的临床资料进行介绍和分析。结果 3例患者均顺利完成腹腔镜手术。腹腔镜保留十二指肠胰头切除术、腹腔镜胰腺中段切除术和腹腔镜保脾胰尾切除术的手术时间和失血量分别为409 min、486 min、251 min和150 ml、200 ml、200 ml。随访31～39个月均无胰腺内外分泌功能不足表现，无肿瘤复发。结论 腹腔镜胰腺区段切除术在手术技术上是安全可行的，具有可重复性，是一种创伤小、能更大程度保护器官功能的手术方式，疗效满意，但需要熟练的手术团队在有经验的临床中心进行。 |
| 关键词: 胰腺区段切除术 实性假乳头状肿瘤 腹腔镜 |
| DOI：10.3969/j.issn.1674-3806.2020.10.17 |
| 分类号:R 735.9 |
| 基金项目: |
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| Introduction to the surgical technique and curative effect of laparoscopic pancreatic segmental resection in treatment of solid pseudopapillary neoplasm of the pancreas |
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LIANG Bin, CHEN Yuan-yuan, DONG Xiao-feng, et al.
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Department of Hepatobiliary, Pancreatic and Splentic Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To introduce the surgical technique of laparoscopic pancreatic segmental resection(LPSR), and to analyze its safety, feasibility and efficacy. Methods The clinical data of 1 case of laparoscopic duodenum-preserving pancreatic head resection(LDPPHR), 1 case of laparoscopic central pancreatectomy(LCP) and 1 case of laparoscopic spleen-preserving distal pancreatectomy(LSPDP) in the Department of Hepatobiliary, Pancreatic and Splentic Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region from March 2017 to October 2017 were introduced and analyzed. Results Total laparoscopic surgery was successfully completed in all the 3 patients. The operation time of LDPPHR, LCP and LSPDP was 409 min, 486 min and 251 min, respectively. The blood loss during the periods of LDPPHR, LCP and LSPDP was 150 ml, 200 ml and 200 ml, respectively. During the follow-up of 31～39 months, there were no deficiencies pancreatic endocrine and exocrine function and no tumor recurrence. Conclusion Laparoscopic pancreatic segmental resection is technically safe, feasible and repeatable. It is a surgical method with less invasion and greater protection of organ function, and its curative effect is satisfactory, but it needs to be performed by skilled surgical teams in experienced clinical centers. |
| Key words: Pancreatic segmental resection Solid pseudopapillary neoplasm(SPN) Laparoscopy |
