腹腔镜胰颈部肿瘤切除联合胰管支架置入术

Laparoscopic resection of pancreatic neck tumor combined with pancreatic duct stenting

目的探讨腹腔镜手术行胰腺肿瘤剜除联合术中胰管支架置入的可行性及安全性。方法回顾性分析2021年5月浙江大学医学院附属邵逸夫医院收治的1例行腹腔镜胰腺肿瘤切除联合胰管支架置入术的胰腺实性假乳头状瘤(solid pseudopapillary neoplasms,SPN)患者的临床资料。结果患者手术顺利,镜下操作时间240 min,术中出血量约20 ml,术后12 d带腹腔引流管出院,术后半个月拔除引流管,术后1个月复查胰管支架已自行脱落。术后病理结果为胰腺SPN。结论腹腔镜胰颈部肿瘤切除联合胰管支架置入术后无明显胰瘘,是可行、安全的。

Objective To investigate the feasibility and safety of laparoscopic pancreatic tumor enucleation combined with intraoperative pancreatic duct stenting.Methods The clinical data of a case of pancreatic solid pseudopapillary neoplasms who underwent laparoscopic pancreatic tumor resection combined with pancreatic duct stenting in Sir Run Run Shaw Hospital affiliated to Medical School of Zhejiang University in May 2021 were retrospectively analyzed.Results The operation was successful,with the endoscopic operation time of 240 minutes and intraoperative blood loss of about 20 ml.12 days after surgery,the patient was discharged with abdominal drainage tube.The drainage tube was removed half a month after surgery,and the pancreatic duct stent was removed by reexamination one month later.Postoperative pathology was considered as pancreatic solid pseudopapillary neoplasms.Conclusions Laparoscopic pancreatic neck tumor resection combined with pancreatic duct stenting is feasible and safe without obvious pancreatic fistula.