保留脾脏的胰体尾切除术临床价值与适应证探讨

Clinical value and surgical indications of spleen preserving distal pancreatectomy

胰体尾切除术是治疗胰腺体尾部占位性病变的常规手术方式。由于胰腺和脾血管密切的解剖关系,通常在进行胰体尾切除时同时实施脾切除术。近年来,随着手术技术与设备的进步以及损伤控制理念的推广,保留脾脏的胰体尾切除术开展得越来越广泛。该文就保留脾脏的胰体尾切除术的解剖基础、手术方式、临床价值以及手术适应证等方面进行评述,以期为保留脾脏的胰体尾切除术的合理开展提供一定的借鉴。

Distal pancreatectomy is a routine surgical approach for the treatment of space-occupying lesions of the pancreatic body and tail.A splenectomy is usually performed during DP due to the proximal anatomical relationship of the pancreas and the splenic vasculature.In recent years,with the advancement of surgical techniques and equipment and the promotion of the concept of damage control,spleen-preserving distal pancreatectomy has been more and more widely carried out.This article reviews the anatomical basis,surgical methods,clinical value and surgical indications of spleen-preserving distal pancreatectomy in order to provide some reference for the rational development of spleen-preserving distal pancreatectomy.