腹腔镜技术治疗胰腺囊肿七例报告

Laparoscopic treatment for pancreatic cyst: a report of 7 cases

目的总结腹腔镜处理胰腺囊肿的方法与应用价值。方法采用腹腔镜技术处理胰腺囊肿7例,其中行保留脾脏的胰体尾切除3例,胰体尾加脾脏切除1例,单纯胰腺囊肿切除3例。结果所有手术均获成功,无中转开腹。手术时间115(80～280)min,出m血45(30～80)ml,术后住院时间4.6(4～7)d,无腹腔感染、胰漏和出血等术后并发症,术后随访6～21个月,无复发。结论腹腔镜手术治疗胰腺囊肿安全有效,具有创伤小、痛苦轻、恢复快、住院时间短、并发症少等优点,应根据病人的具体情况选择不同的腹腔镜手术处理方法。

Objective To investigate the technique and value of laparoscopy for pancreatic cyst. Methods For the 7 patients, laparoscopic spleen-preserving distal pancreatectomy in 3 cases, laparo- scopic distal pancreatectomy and splenectomy in 1 cases and laparoscopic cystectomy in 3 cases. Results The operations were successfully performed in all the 7 patients and there was no conversion to laparotomy. Mean operative duration was 115 （80-280）rain. The intraoperative bleeding was 45（30-80） ml and average postoperative hospital stay was 4.6 （4-7）d. There were no postoperative complications such as abdominal infection, pancreatic leakage and hemorrhage. All the 7 patients were followed up for 6 to 21 months and there was no recurrence. Conclusion Laparoscopic management is an effective and safe approach for pancreatic cyst. It has advantages including less trauma, less pain, fast recovery, a shorter hospital stay and low rate of complications. Different laparoscopic techniques should be selected according to the conditions of patients.