腹腔镜外科手术治疗胰腺假性囊肿

LAPAROSCOPIC MANAGEMENT OF PANCREATIC PSEUDOCYSTS

目的 :探讨腹腔镜治疗胰腺假性囊肿的临床意义、适应证及方法。方法 :2 0 0 1年 1 2月～ 2 0 0 2年 8月 ,2例病人接受了腹腔镜胰腺假性囊肿手术 ,其中 1例行腹腔镜胰腺假行囊肿切除术 ,另 1例行腹腔镜囊肿胃吻合术。结果 :2例手术均顺利完成 ,手术时间 1 2 0～ 1 35min ,出血 50～ 60ml,术后 2 4h胃肠功能恢复 ,无并发症发生 ,术后 7d出院。结论 :腹腔镜手术治疗胰腺假性囊肿是一种安全、可靠、微创的新技术 ,可根据囊肿与周围的粘连程度。

Objective:To investigate the clinical values , indication and methods of laparoscopic procedure for pancreatic pseudocysts. Methods:From Dec 2001 to Aug 2002,2 patients of pancreatic pseud ocysts were treated by laparoscopic procedure combined with LC,one of them recei ved laparoscopic pseudocystectomy , another received laparoscopic cystogastrosto my .Results:The two patients received laparoscopic procedure success fully . The mean operative time was 128 min (range 120～135min ) and there were no postoperative complications. The mean postoperative hospital stay was 7 day s. Conclusion:Laparoscopic procedure for pancreatic pseudocysts of fers a feasible, safe and minimally invasive option for selected patients with s ymptomatic pancreatic pseudocysts , one can select different surgical approaches either laparoscopic pseudocystectomy or cystogastrostomy in different patients.