摘要
目的探讨保留脾脏胰体尾切除的可行性和安全性以及并发症预防。方法回顾性分析总结2009年1月至2011年12月行保留脾脏胰体尾切除术5例资料,其中保留脾脏血管的开腹保脾胰体尾切除3例,切断(或切除)脾脏血管的保脾胰体尾切除术1例,腔镜下保脾胰体尾部切除术1例。结果本组无手术死亡,术后均未发生胰瘘、脾梗死、脾脓肿及脾出血等。随访3～6月,无并发症发生。结论胰体尾部良性肿瘤,应首选保留脾脏的胰体尾切除方法,手术安全,效果好,且避免了脾脏的不必要切除。
Objective To evaluate the outcomes of spleen-preserving distal pancreatectomy and explore its feasibility. Methods From January 2009 to December 2011, the spleen-preserving distal pancreatectomy was performed in 5 adult patients. The splenic artery and vein were preserved in 3 patients and resected in 1, and 1 was undergone with the laparoscopic distal pancreatectomy. Results There was no postoperative death, nor pancreatic fistula, splenic infarction, splenic abscess or splenorrhagia. There was no harmful complication during the follow-up of 3 to 6 months. Conclusion Spleen-preserving distal pancreatectomy is the preferred procedure for certain benign lesions of pancreatic body or tail that are not candidates for enucleation.
出处
《中国现代手术学杂志》
2013年第3期190-192,共3页
Chinese Journal of Modern Operative Surgery
关键词
胰腺肿瘤
保留脾脏
胰腺切除术
pancreatic neoplasms
spleen-preserving
pancreatectomy
