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学科主题: 外科学
题名:
腹腔镜远端胰腺切除
其他题名: Laparoscopic distal pancreatectomy
作者: 李磊; 修典荣; 蒋斌; 马朝来; 王港
关键词: 胰腺肿瘤 ; 胰腺切除术 ; 腹腔镜检查 ; 保留脾脏 ; Pancreatic neoplasms ; Pancreatectomy ; Laparoscopy ; Spleen preservation
刊名: 中华普通外科杂志
发表日期: 2013
DOI: 10.3760/cma.j.issn.1007-631X.2013.05.003
卷: 28, 期:5, 页:332-336
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 比较不同方式腹腔镜胰腺远端切除术的安全性、可行性.方法 2005年9月至2012年10月,57例胰腺体尾部肿物患者接受腹腔镜胰腺远端切除术.根据手术方式将患者分为远端胰腺及脾切除组、保留完整脾动静脉的保脾远端胰腺切除组、不保留脾动静脉的保脾远端胰腺切除组及中转开腹组.记录4组患者术中情况(包括手术时间、术中出血量、输血量等)、术后恢复情况(包括术后住院天数、并发症发生率等)以及病理资料,并进行对比分析.结果 57例患者中,5例中转开腹,52例完成腹腔镜手术(其中1例为手助).保脾手术22例(39%),非保脾手术30例(61%).4组患者手术时间、术中出血量,术后住院时间差异均无统计学意义(均P>0.05).无手术死亡病例,术后B级胰漏2例,无C级胰漏.结论 不同术式的腹腔镜远端胰腺切除术均是安全的,应根据患者的具体情况选择不同术式. Objective To study the safety and feasibility of laparoscopic distal pancreatectomy in different modalities.Methods From September 2005 to October 2012,57 patients with masses located at pancreatic body/tail were treated by laparoscopic distal pancreatectomy.According to the operation procedure,patients were divided into four groups:distal pancreatectomy with splenectomy; Spleenpreserving distal pancreatectomy with conservation of the splenic artery and vein; spleen-preserving distal pancreatectomy and without conservation of the splenic artery and vein and laparoscopic to open distal pancreatectomy.Data of each group for operation time,blood loss and complications were collected and statistically analyzed.Results In 57 patients,5 cases were converted to open distal pancreatectomy.52 cases underwent successful laparoscopic operation (including 1 cases of hand-assisted).22 cases of spleen preserving operation (39%),and 30 cases of splenectomy operation (61%).Among the 4 groups of patients operation time,intraoperative blood loss,postoperative length of stay were not significantly different (all P > 0.05).There was no operative mortality.Two cases suffered from B level postoperative pancreatic leakage,there was no C level pancreatic leakage.Conclusions Laparoscopic distal pancreatectomy with or without splenectomy is safe for the treatment of body and tail tumors of the pancreas.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/73230
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: 100191,北京大学第三医院普外科

Recommended Citation:
李磊,修典荣,蒋斌,等. 腹腔镜远端胰腺切除[J]. 中华普通外科杂志,2013,28(5):332-336.
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