引用本文:梁斌,陈元元,董小锋,姚思扬,黄顺荣.腹腔镜胰腺区段切除术治疗胰腺实性假乳头状瘤[J].中国临床新医学,0,():-.
Liang Bin,Chen Yuan-Yuan,Dong Xiao-Feng,Yao Si-Yang,Huang Shun-Rong.腹腔镜胰腺区段切除术治疗胰腺实性假乳头状瘤[J].中国临床新医学,0,():-.
【打印本页】   【下载PDF全文】   【查看/发表评论】  【EndNote】   【RefMan】   【BibTex】
过刊浏览    高级检索
本文已被：浏览 168次   下载 0次  
分享到： 微信 更多
字体:加大+|默认|缩小-
腹腔镜胰腺区段切除术治疗胰腺实性假乳头状瘤
梁斌, 陈元元, 董小锋, 姚思扬, 黄顺荣
广西壮族自治区人民医院
摘要:
目的：介绍腹腔镜胰腺区段切除术的手术技术，分析其安全性和可行性。 方法：对2017年3月至2017年10月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腺远端切除术各1例的临床资料进行介绍和分析。 结果：3例患者均顺利完成完全腹腔镜手术。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分钟，486分钟，251分钟和150毫升，200毫升，200毫升。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。进行大病例数多中心临床研究是需要的。
关键词:  胰腺区段切除术  实性假乳头状肿瘤  腹腔镜
DOI：
分类号:
基金项目:
Laparoscopic pancreatic segmental resection for solid pseudopapillary neoplasm of pancreas
Liang Bin, Chen Yuan-Yuan, Dong Xiao-Feng, Yao Si-Yang, Huang Shun-Rong
Department of Hepatobiliary,Pancreatic and Spleen Surgery of the People''s Hospital of Guangxi Zhuang Autonomous Region
Abstract:
Objective: To introduce the surgical technique of laparoscopic pancreatic segmental resection and analyze its safety and feasibility. Methods: Introduce and analyze the clinical data of 3 patients who underwent laparoscopic duodenal pancreatectomy, laparoscopic middle pancreatectomy and laparoscopic spleen-preserving distal pancreatectomy, respectively, in the Department of Hepatobiliary， Pancreatic and Spleen Surgery of the People's Hospital of Guangxi Zhuang Autonomous Region from March 2017 to October 2017. Results: Total laparoscopic surgery was successfully completed in all 3 patients. The operation time and blood loss of laparoscopic duodenal pancreatectomy, laparoscopic middle pancreatectomy and laparoscopic spleen-preserving distal pancreatectomy were 409 minutes, 486 minutes, 251 minutes and 150 ml, 200 ml and 200 ml, respectively. During the follow-up of 31-39 months, there was no deficiency of pancreatic exocrine and exocrine function and no tumor recurrence. Conclusion: Laparoscopic segmental pancreatectomy is technically safe, feasible and repeatable. It is a surgical method with less trauma and greater protection of organ function. The curative effect is satisfactory, but it needs to be performed by skilled surgical teams in experienced clinical centers. It is necessary to conduct multi-center clinical studies with large numbers of cases.
Key words:  Pancreatic segmental resection  Solid pseudopapillary neoplasm  Laparoscopy