腹腔镜在胰腺囊性肿瘤治疗中的应用及评价

Application and evaluation of the laparoscopy in treatment of pancreatic cystic tumors

胰腺囊性肿瘤生物学行为多样。手术是治疗胰腺囊腺瘤惟一有效方法。目前,腹腔镜治疗胰腺囊性肿瘤术式包括胰腺囊肿剜除术、腹腔镜下保留脾或不保留脾的胰体尾切除术、腹腔镜胰腺节段切除、胰腺假性囊肿引流术及腹腔镜下胰十二指肠切除术或全胰切除术。腹腔镜治疗胰腺囊性肿瘤具有创伤小、并发症少、术后恢复快等优点,是未来胰腺囊性肿瘤治疗的主要方式。

The biological behavior of pancreatic cystic tumors is diverse. Surgery is the only effective treatment for pancreatic cystic tumors. Currently laparoscopic surgical treatment of pancreatic cystic tumors includes pancreatic cystenucleation, laparoscopic pancreatic distal resection with or without spleen preservation, laparoscopic pancreatic segment resection, pancreatic pseudocyst drainage and laparoscopic pancreaticoduodenectomy or total pancreatectomy. With the property of minimal invasion, fewer complication and rapid postoperative recovery, laparoscopic treatment of pancreatic cysts will become the major method for the treatment of pancreatic cystic tumors.