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腹腔镜手术治疗胰腺实性假乳头状肿瘤的临床疗效 被引量:2

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摘要 目的探讨腹腔镜手术治疗胰腺实性假乳头状肿瘤(SPNs)的临床疗效。方法回顾性分析2004年11月至2015年6月行腹腔镜手术治疗SPNs患者30例的临床资料。结果手术方式:腹腔镜胰体尾联合脾脏切除术20例,腹腔镜保留脾脏胰体尾切除术6例;腹腔镜胰腺中段切除术3例;腹腔镜胰十二指肠切除术1例。手术时间(191.4±64.2)min,术中出血量(155±89.0)ml,术中输血率为3.3%。术后住院时间10d(6-23d)。无围手术期死亡,术后并发症率为33.3%,≥GradeⅢ并发症率10.0%,胰瘘率30.0%。随访率93.3%,中位随访时间49个月(6-134个月)。2例患者术后出现糖尿病,1例患者术后出现胰腺外分泌功能不足表现;术后均未出现肿瘤复发或转移。结论腹腔镜手术治疗SPNS是安全可行的;近、远期疗效好。
出处 《浙江临床医学》 2016年第6期1063-1064,共2页 Zhejiang Clinical Medical Journal
基金 浙江省教育厅科研项目(Y201534-423) 浙江省医学重点学科基金资助项目(11-CX21)
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参考文献8

  • 1Papavramidis T,Papavramidis S.Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature.J Am Coll Surg,2005,200(6):965-972.
  • 2严加费,牟一平,徐晓武,倪俊俊,陈定伟,朱一平,陈其龙,周育成,谢坤.腹腔镜胰体尾切除术68例单中心经验[J].中华外科杂志,2012,50(9):802-805. 被引量:37
  • 3Croome KP, Farnell MB, Que FG, et al. Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic advantages over open approaches.Ann Surg,2014, 260(4): 633-640.
  • 4Song KB,Kim SC,Park KM,et al.Laparoscopic central pancreatectomy for benign or low-grade malignant lesions in the pancreatic neck and proximal body.Surg Endosc,2015,29(4):937-946.
  • 5Kang CM,Choi SH,Hwang HK,et al.Minimally invasive (laparoscopic and robot-assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single-center experienceJ Hepatobiliary Pancreat Sci,2011,18(1):87-93.
  • 6Fais PO,Carricaburu E,Sarnacki S,et al.ls laparoscopic management suitable for solid pseudo-papillary tumors o(the pancreas.Pediatr Surg Int,2009,25 (7):617-621.
  • 7Zhang RC,Zhou YC,Mou YP,et al.Laparoscopic versus open enucleation for pancreatic neoplasms: clinical outcomes and pancreatic function analysis.Surg Endosc,2015.1-9.
  • 8Afridi SA,Kazaryan AM,Marangos IP,et al.Laparoscopic surgery for solid pseudopapinary tumor of the pancreas.JSLS,2014,18(2):236-242.

二级参考文献15

  • 1牟一平,徐晓武,王观宇,朱玲华,陈其龙,杨鹏,陈定伟,陈灵华.腹腔镜胰体尾切除术的临床应用[J].中华医学杂志,2005,85(25):1786-1787. 被引量:34
  • 2Cuschieri A, Jakimowicz JJ, Van Spreeuwel J. Laparoscopic distal 70% pancreatectomy and splentectomy for chronic pancreatitis. Ann Surg, 1996,223:280-285.
  • 3Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an intertlational study group ( ISGPF ) definition. Surgery, 2005,138:8-13.
  • 4Kooby DA, Chu CK. Laparoscopic management of pancreatic malignancies. Surg Clin North Am,2010,90:427-446.
  • 5D'Angelica M, Are C, Jarnagin W, et al. Initial experience with hand-assisted laparoscopic distal panereatectomy. Surg Endosc, 2006,20 : 142-148.
  • 6Melotti G, Butturini G, Piccoli M, et al. Laparoscopic distal pancreatectomy:results on a consecutive series of 58 patients. Ann Surg ,2007,246:77-82.
  • 7Kooby DA, Hawkins WG, Schmidt CM, et al. A multicenter analysis of distal pancreatectomy for adenocarcinoma: is laparoscopic resection appropriate?. J Am Coil Surg, 2010,210 : 779-787.
  • 8Kimura W, Inone T, Futawake N, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Surgery, 1996,120:885-890.
  • 9Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg, 1998,123:550-553.
  • 10Vijan SS,Ahmed KA, Harmsen WS, et al. Laparoscopic vs. open distal pancreatectomy: a single-institution comparative study. Arch Surg,2010,145:6164521.

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