摘要
目的探讨保留脾血管腹腔镜胰体尾切除术(Kimura法)的安全性。方法回顾性分析2015年1月至2019年6月内蒙古医科大学附属医院5例行保留脾血管腹腔镜胰体尾切除术患者的临床资料。结果5例手术均顺利完成,无中转开腹,无围手术期死亡;病理证实均为良性或者低度恶性肿瘤;手术时间3.0~8.5 h,平均(5.7±1.82)h;出血量50~300 mL,平均(130±98.49)mL。术后第4~12 d拔管,第7~14 d出院,术后平均住院时间(9.52±2.21)d。术后随访,无肿瘤复发。A级胰瘘1例。结论围手术期精心准备,初期尝试行保留脾血管的腹腔镜胰体尾切除术是安全可行的。
Objective To investigate the safety of laparoscopic distal pancreatectomy with preservation of splenic vessel(Kimura method).Methods The clinical data of 5 patients who underwent laparoscopic distal pancreatectomy with preservation of splenic vessels in the Affiliated Hospital of Inner Mongolia Medical University from Jan.2015 to Jun.2019 were retrospectively analyzed.Results All the operations were successfully completed without conversion to laparotomy or perioperative mortality.Pathological examination showed that all patients were with benign or low-grade malignant tumors.The operation time ranged from 3.0 to 8.5 hours,with an average of(5.7±1.82)hours,and the bleeding volume ranged from 50 to 300 m L,with an average of(130±98.49)m L.The catheter was extubated on the 4 th to 12 th day postoperative and discharged on the 7 th to 14 th day postperative.The average hospitalization time was(9.52±2.21)days.No recurrence happened during the follow-up.Grade A pancreatic fistula occurred to one case.Conclusion Under the circumstance of careful preparation during the perioperative period,laparoscopic distal pancreatectomy with preservation of splenic vessel at the initial stage is safe and feasible.
作者
田全发
乔建梁
靳君华
郑卫华
张俊晶
QIAO Jian-liang;JIN Jun-hua;ZHENG Wei-hua;ZHANG Jun-jing(Department of General Surgery,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010030,China;The Key Laboratory of Surgery of Inner Mongolia Medical University,Hohhot 010050,China)
出处
《肝胆胰外科杂志》
CAS
2019年第12期723-726,共4页
Journal of Hepatopancreatobiliary Surgery
基金
内蒙古自治区草原英才培养专项基金(CYYC2012040)
关键词
腹腔镜
保脾
胰腺良性病变
胰体尾切除术
胰瘘
laparoscopy
spleen preservation
benign pancreatic lesions
pancreatic body tail resection
pancreatic fistula