中段胰腺切除治疗胰腺良性病变

Central pancreatectomy for benign pancreatic lesions

目的探讨胰腺中段切除术对胰腺良性疾病的处理方法与效果。方法回顾性分析12例胰腺中部良性疾病的临床特征、手术方式及疗效。7例胰岛细胞瘤及3例胰腺囊肿采用胰腺中段病灶及部分胰腺切除,胰腺近端断面缝合,胰腺远端断面胰腺与空肠行Roux-en-Y吻合。2例胰腺结石采用中部胰腺切除、取石,两侧断端胰腺与空肠行Roux-en-Y吻合。结果 12例均治愈出院。无死亡,无胰瘘、出血、肠瘘等并发症。12例随访半年至3年,无腹痛、发热及低血糖等情况。结论胰腺中段切除是处理胰腺中部良性病变的一种安全有效的方法。

Objective To explore the efficacy of central pancreatectomy for patients with benign pancreatic lesions.Methods The clinical charactesistics,operative methods and therapeutic results of twelve patients with benign pancreatic lesions were retrospectively analyzed.Seven patents with islet cell tumor and 3 patients with true pancreatic cyst underwent central pancreatectomy,closure of the proximal pancreatic stump and Roux-en-Y anastomosis of the distal segment of pancreas;two patients with pancreatic calculi underwent calculi extraction,central pancreatectomy and Roux-en-Y pancreato-jejunostomy of the proximal and distal pancreatic segments.Results There were no deaths,pancreatic fistula or other complications in this series.No abdominal pain,fever or hypoglycemia at 6 montns to 3 years follow-up period.Conclusions Central pancreatectomy is an effective method for treatment of patients with benign central pancreatic lesions.