腹腔镜保留脾脏和脾血管的胰体尾切除术

Spleen-preserving laparoscopic distal pancreatectomy with preservation of the splenic artery and vein

近年来，随着腹腔镜手术技术的成熟及各种手术器械的进步，腹腔镜手术的应用范围不断扩大，使完全腹腔镜胰体尾切除术成为可能。1996年，Cuschieri等首次报道了腹腔镜胰体尾联合脾脏切除；同年Kimura等报道腹腔镜保留脾脏的胰体尾切除术获得成功。

With the maturation of laparoscopic surgical technology and the development of surgical instruments, the scope of application for laparoscopic surgery has expanded con- stantly in recent years. It is now possible to perform total laparo- scopic distal pancreatectomy （TLDP）. Cuschieri succeeded in performing laparoscopic distal pancreatectomy and slpenectomy in 1996, and in the same year, Kimura successfully performed spleen-preserving laparoscopic distal pancreatectomy. However, few successful spleen-preserving TLDP cases have been reported domestically or abroad. We made a success in a case of spleen- preserving TLDP with preservation of the splenic artery and vein in 2011, and the experiences of this surgical approach were introduced.