腹腔镜下胰体尾肿瘤切除术(附15例报告)

Laparoscopic distal pancreatectomy of tumors in pancreatic body and tail: A report of 15 cases

  • 摘要: 目的 探讨腹腔镜胰体尾切除术(laparoscopic distal pancreatectomy,LDP)治疗胰体尾肿瘤的临床应用价值。 方法 回顾我院2010年2月-2012年2月经B超或CT证实为胰体尾部肿瘤行LDP的患者15例(保留脾脏3例)。 结果 13例均在全腹腔镜下一次成功,2例中转开腹。术中平均出血150(50-400)ml。1例发生胰漏,1例发生皮下气肿,经保守治疗痊愈。术后平均住院9.3(3-20)d。 结论 与传统开腹手术相比,LDP具有创伤小、恢复快等优势,但技术难度和器械费用限制了LDP的推广应用。

     

    Abstract: Objective To study the clinical application value of laparoscopic distal pancreatectomy(LDP) of tumors in pancreatic body and tail. Methods Clinical data about 15 patients with tumors(confirmed by ultrasound or CT) in pancreatic body and tail who underwent LDP from February 2010 to February 2012(3 with their spleen preserved) were retrospectively analyzed. Results The operation was quite a success in 13 patients and 2 were transferred to laparotomy.The mean blood loss during operation was 150(50-400)ml.Pancreatic 1eak occurred in one patient and subcutaneous emphysema developed in one patient who was cured after conservative treatment.The mean hospital stay time of the patients was 9.3(3-20)d after operation. Conclusion LDP has the advantages such as small trauma and rapid recovery compared with the traditional laparotomy.However,its wide application is limited by its difficulty in technique and cost of equipments.

     

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