经屈氏韧带路径的腹腔镜根治性前入路顺行模块化胰体尾癌切除术的临床应用

Laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach for pancreatic body and tail cancer

目的评价经屈氏韧带路径的腹腔镜根治性前入路顺行模块化胰体尾癌切除术(L-RAMPS)的可行性和安全性。方法回顾性分析笔者所在科室于2017年11月收治的1例行L-RAMPS的胰腺癌患者的临床资料。结果该例患者的手术历时255 min,术中出血量为200 mL,未输血,术后无胰瘘、消化道出血、胃排空延迟等并发症发生。术后已获访12个月,无肿瘤复发或转移,继续随访。结论 L-RAMPS在严格选择的早期胰体尾癌患者中是安全可行的。

Objective To evaluate the feasibil让y and safety of laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Tre让z approach for pancreatic body and tail cancer.Methods On 13th November 2017,we selected a patient with a suspicious malignant tumor in the body of pancreas but no evidence of metastasis or local invasion of the retroperitoneum for laparoscopic antegrade modular pancreatosplenectomy through the ligament of Treitz approach.The time of operation,the estimated blood loss,and post-operative complications were observed.Results The procedure was completed successfully in 255 min,and the estimated blood loss was 200 mL,there was no need of transfusion and no significant post-operational complications had been observed.No tumor recurrence or distal metastasis was found after a 12 month5s follow-up.Conclusion Laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach is a feasible and safe procedure for pancreatic body and tail malignant tumor in strictly selected patients.