保留脾脏的腹腔外胰体尾切除术六例临床分析

Spleen preserving distal pancreatectomy outside abdominal cavity

目的探讨保留脾脏的腹腔外胰体尾切除的可行性与安全性。方法2005年12月至2008年12月收治的6例胰腺体尾部良性病变患者，采用了保留脾脏的方法进行腹腔外胰体尾切除术。结果6例患者均成功完成了该手术。手术时间130—230min，平均180min，术中出血量为100～300ml，平均200ml，术中均未输血，术后平均住院时间为（14±5）d。1例患者术后出现胰瘘，经非手术治疗治愈。无其他并发症。随访3～24个月不等，结果良好。结论保留脾脏的腹腔外胰体尾切除术是安全可行的，且避免了不必要的脾切除，值得推广。

Objective To investigate the feasibility and safety of spleen-preserving distal pancreatetomy outside abdominal cavity. Methods We used the method of spleen-preserving distal pancreatetomy outside abdominal cavity for 6 patients of benign diseases of distal pancreas who were admitted in Gulou Hospital from December 2005 to December 2008. Results All patients underwent the operation successfully. The mean operation time was 180 minutes, the blood loss was 100 -300 ml with a mean of 200 ml. No patients needed blood transfusion. The mean post-operative hospital stay time was （14 ＋ 5 ） days. One patient developed pancreatic fistula and was cured with non-operative management, there was no other complications. All patients were followed up from 3 to 24 months, and the results were excellent. Conclusions Spleen-preserving distal pancreatetomy outside abdominal cavity is safe and feasible, which may avoid the unnecessary splenectomy.