3D腹腔镜下根治性顺行模块化胰脾切除术治疗胰腺体尾部恶性肿瘤的临床疗效

Clinical efficacy of 3D laparoscopic radical antegrade modular pancreatosplenectomy for carcinoma of pancreatic body and tail

目的探讨3D腹腔镜下根治性顺行模块化胰脾切除术治疗胰腺体尾部恶性肿瘤的临床应用价值。方法回顾性分析应用3D腹腔镜行根治性顺行模块化胰脾切除术的12例患者的临床资料。其中男性9例,女性3例;年龄42~71岁,中位年龄56岁。所有患者均为胰腺体尾部恶性肿瘤患者。结果所有患者均顺利完成手术。手术时间151 min(128~205 min),术中出血量260 m L(200~380 m L),术后住院时间11 d(8~16 d)。4例术后发生胰瘘,均为生化漏,均经抑酶和引流等保守治愈。无围手术期死亡病例。术后随访时间3~6个月,患者生活质量好,无肿瘤复发。结论应用3D腹腔镜行根治性顺行模块化胰脾切除术治疗胰体尾部的恶行肿瘤具有安全有效的特点,值得在临床推广和应用。

Objective To explore the clinical value of 3D laparoscopic radical antegrade modular pancreatosplenectomy for carcinoma of pancreatic body and tail.Methods The clinical data of 12 patients who underwent 3D laparoscopic radical antegrade modular pancreatosplenectomy were retrospective analyzed.There were 9 males and 3 females;aged 42-71 years,with a median age of 56 years.All patients were malignant tumors of the body and tail of the pancreas.Results All patients successfully completed the operation.The operation time was 151 min(128-205 min),the intraoperative blood loss was 260 mL(200-380 mL),and the postoperative hospital stay was 11 days(8-16 days).Four patients had pancreatic fistula after operation,all of which were biochemical sputum,which were conservatively cured by inhibition of enzymes and drainage.There were no perioperative deaths.After 3 to 6 months of follow-up,the patient's quality of life was good and there was no tumor recurrence.Conclusions The use of 3D laparoscopic radical antegrade modular pancreatosplenectomy for the treatment of malignant tumors in the body and tail of the pancreas is safe and effective,and it is worthy of clinical promotion and application.