腹腔镜胰体尾切除术的临床应用(附4例报告)

Clinical application of laparoscopic distal pancreatectomy for patients with neoplasms in the distal region of the pancreas: report of 4 cases

目的探讨腹腔镜胰体尾切除术(laparoscopicdistalpancreatectomy,LDP)治疗胰体尾肿瘤的临床价值。方法2002年6月～2004年12月行LDP的患者4例(保留脾脏1例),平均年龄39.8岁(31～48岁)。其中胰腺体尾部实性占位2例,囊实性占位2例。结果手术均在全腹腔镜下一次成功,平均手术时间305min(95～465min),平均出血140ml(50～300ml)。1例发生胰漏,经保守治疗痊愈。术后平均住院9.8d(5～18d)。结论LDP创伤小、术后恢复快,是治疗胰体尾肿瘤安全、可行的方法。

Objective To explore the clinical application of laparoscopic distal pancreatectomy (LDP) in the treatment of tumors in the body or tail of the pancreas. Methods From June 2002 to December 2004, 4 female cases with neoplasms in the distal region of the pancreas were treated by LDP (3 with splenectomy and 1 without splenectomy). The mean age was 39.8 years (ranging from 31 to 48). (Results )All of the operations were completed successfully, with an average operation time of 305 minutes and a mean intraoperative blood loss of 140 ml. There was pancreatic leak in one case, which was cured conservatively. The median postoperative hospital stay was 9.8 days. (Conclusions)LDP is feasible and safe for patients with distal pancreatic neoplasms appears to be safe, and it is (accompanied) by an accelerated recovery.