胰腺假性囊肿的腹腔镜治疗现状

Laparoscopic treatment for pancreatic pseudocysts

胰腺假性囊肿是临床中最常见的胰腺囊性疾病。在胰腺假性囊肿的外科治疗中，近年来多数外科医师首选腹腔镜手术。本文探讨针对不同情况胰腺假性囊肿的腹腔镜手术方式及手术时机的选择。胰腺假性囊肿在观察期内，通过影像学检查监测囊肿有元消散或增大，如发现囊肿增大或6个月后仍不能自行消散，最大径〉6cm，并有临床症状，应考虑行内引流治疗。术中根据囊肿的位置和手术者的经验选择手术方式。胰腺体部的囊肿常选择腹腔镜囊肿一胃吻合术，远离胃的囊肿宜选择腹腔镜囊肿一空肠吻合术。腹腔镜手术治疗胰腺假性囊肿有独特的优势，手术时间短、出血量少、手术创伤小、术后并发症少、恢复快，是一种安全、疗效确切的治疗选择。

Pancreatic pseudocyst is the most common pancreatic cystic disease in clinical practice. In the surgical treatment of pancreatic pseudocysts, most surgeons preferred laparoscopic surgery in recent years. The options and the timing of laparoscopic surgery for pancreatic pseudocysts in different situations are explored in the paper. Pancreatic pseudocysts during the observation period, the imaging examination to detect whether the cyst has disappeared or increased, such as cysts found to be enlarged or still can not dissipate after 6 months, the largest diameter greater than 6 cm, and clinical symptoms, surgical drainage should be considered treatment. Surgery based on the location of the cyst and surgical experience of surgical options. Pancreatic cyst often choose laparoscopic cyst-gastric anastomosis, far from the stomach cyst should choose laparoscopic cyst-jejunal anastomosis. Laparoscopic surgery for the treatment of pancreatic pseudocyst has a unique advantage, short operation time, less bleeding, less trauma, less postoperative complications, rapid recovery, is a safe and effective treatment options.