目的    总结保留脾脏的胰体尾切除术经验，探讨其可行性与安全性。 方法    回顾性分析中国医科大学附属第一医院1993年4月至2009年7月行保留脾脏的胰体尾切除术22例病人的临床资料。结果    22例病人中，无功能胰岛细胞瘤8例、囊腺瘤8例、胰岛素瘤5例、胰腺假性囊肿1例，均成功完成保留脾脏的胰体尾切除术，其中保留脾脏血管18例，切断脾脏血管4例。无围手术期死亡。术后发生胰瘘5例，经非手术治疗2～3周痊愈。结论    对于胰体尾部良性病变者，不适合行摘除术时应首先选择保留脾脏的胰体尾切除术，安全可行。

The spleen-preserving distal pancreatectomy: 22 cases report        WANG Zhi-hong,ZHANG Hao,LI Yu-ji,et al.Department of General Surgery, the First Hospital, China Medical University,Shenyang 110001,China
Corresponding author: ZHANG Hao, E-mail: haozhang@mail.cmu.edu.cn
Abstract    Objective To evaluate the outcome of spleen-preserving distal pancreatectomy and explore its feasibility. Methods    The clinical data of 22 cases of spleen-preserving distal pancreatectomy from April 1993 to July 2009 in the First Affiliated Hospital of China Medical University were analyzed retrospectively. Results    Among them, 8 cases of non-functioning islet cell tumor, 8 cases of cystadenoma, 5 cases of insulinoma and 1 case of pseudocyst were included. There were no postoperative deaths, pancreatic fistula occurred in 5 patients, and was cured within 2～3 weeks by non-operative treatment. Conclusion    Spleen-preserving distal pancreastectomy is the preferred procedure for certain benign lesions of pancreatic body or tail that are not candidates for enucleation. This procedure has good result at short-term after the operation.