腹腔镜胰体尾脾脏联合切除术四例报告

Clinical application of laparoscopic distal splenopancreatectomy

目的探讨腹腔镜下胰体尾、脾脏联合切除术的临床应用。方法对我院2004年2月～2006年2月对胰尾占位病变实施腹腔镜下脾脏、胰体尾联合切除术4例的临床资料进行回顾性分析。结果手术均在全腹腔镜下成功完成，平均手术时间为206min，平均出血量为160ml。无手术并发症发生。术后平均住院8．3d。结论在腹腔镜下实施脾脏、胰体尾联合切除术是可行的。本方法具有创伤小、恢复快的优点。

Objective To explore the clinical application of laparoscopic distal splenopancreatectomy（LDSP）. Methods From Feb. 2004 to Feb. 2006,clinical data of 4 patients with neoplasms in the distal region of the pancreas treated by LDSP in our hospital were analyzed retrospectively. Results All of the operations were performed successfully with an average operating time of 206 min and a mean intraoperative blood loss of 160ml. There were no postoperative complications. The mean postoperative hospital stay was 8.3 d. Conclusion LDSP is feasible and safe for patients with distal pancreatic neoplasms, and it is accompanied by an accelerated recovery.