保留脾脏腹腔镜胰尾肿瘤切除术5例报告

Laparoscopic distal pancreatectomy with preservation of spleen for distal pancreatic tumor:a report of 5 cases

目的探讨腹腔镜保留脾、胰尾肿瘤切除术的可行性。方法2001年11月至2006年2月间，暨南大学第二临床医学院（深圳市人民医院）肝胆外科对5例胰尾肿瘤的病人实施保留脾脏腹腔镜胰尾肿瘤切除术。结果手术过程顺利，肿瘤完整切除，其中2例为手助腹腔镜、3例在全腹腔镜下完成，术中出血50—150mL，手术时间90～180min，术后第2天进食、下床活动，1例少量胰瘘，1例胰腺假性囊肿形成。5例病人均痊愈出院。结论腹腔镜对于胰尾的孤立肿瘤切除是微创、安全、可行的，值得进一步推广。

Objective To evaluate the feasibility of the laparoscopic distal pancreatectomy with preservation of the spleen for distal pancreatic tumor. Methods Five cases of pancreatic tail tumor were performed by hand - assisted laparoscopic （two cases） and total laparoscopic （three cases） distal pancreatectomy with preservation of the spleen between November 2001 and February 2006 in Jinan University 2nd Clinical Medicine College. Results The operations were completed successfully. Among them,3 cases were in total laparoscopy and 2 cases were in hand-assisted laparoscopy; operative bleeding was 50-150mL;operative time was 90 - 180 minutes. All cases resumed liquid oral-intake and motility at the second day postoperatively. Slight pancreatic leakage occurred in one case. Pancreatic pseudocyst occurred in one case. All cases were recovered from illness. Conclusion Laparoscopic distal pancreatectomy with preservation of the spleen is minimal invasive, safe and feasible for isolated benign pancreatic tail tumors,