中国实用外科杂志

中国实用外科杂志

• 论著 • 上一篇    下一篇

后腹腔镜胰腺切除术4例报告

赵国栋a，刘    荣a，马    鑫b，胡明根a，张    旭b，谷鑫金a，王保富a   

  1. 中国人民解放军总医院  a.肿瘤外科 b.泌尿外科，北京100853
  • 发布日期:2011-12-29

  • Published:2011-12-29

摘要：

目的    探讨后腹腔镜胰腺切除术（retroperitoneoscopic pancreatectomy，REP）的可行性。方法    自2010年2月至2011年4月，中国人民解放军总医院于后腹腔镜下行胰体尾切除、肿瘤剜除4例，前瞻性收集相关资料。结果    研究共完成胰岛素瘤剜除2例，保留脾脏的胰体尾切除2例，手术时间30～100 min，术中出血10～100 mL，术中并发腹膜损伤1例，术后并发A级胰瘘2例，病人术后7 d内出院。结论    对于部分胰腺体尾处病变，REP安全、可行，具有入路直接、操作简便、术后疼痛轻、切口美容、并发症轻、术后恢复快等潜在优点，本研究为胰腺疾病提供了一种新的手术方式。

关键词: 后腹腔镜, 远端胰腺切除术, 剜除术, 胰腺

Abstract:

Retroperitoneoscopic pancreatectomy: a report of 4 cases        ZHAO Guo-dong*,LIU Rong,MA Xin,et al. *Department of Hepatobiliary Surgery, Chinese People’s Liberation Army (PLA) General Hospital, Beijing 100853, China
Corresponding author： LIU Rong， E-mail: liurong301@126.com
Abstract    Objective    This study aimed to evaluate the feasibility of retroperitoneoscopic pancreatectomy performed in a small patient cohort. Methods    Between February 2010 and April 2011，Four patients with distal pancreatic lesions from Chinese People’s Liberation Army (PLA) General Hospital were selected to undergo retroperitoneoscopy. Clinic data was collected prospectively. Results    Patients underwent enucleation (n= 2) or distal pancreatectomy with splenic preservation (n= 2). Operative times ranged from 30-100 min with a controllable blood loss of 10-100 mL. One case of intraoperative retroperitoneal perforation and two cases of pancreatic fistula occurred. All three patients were discharged within 7 days postoperatively. Conclusions    Retroperitoneoscopic pancreatectomy, a novel surgical approach, was feasible and effective in selected patients. The advantages of this approach include an acceptable operating time, insignificant blood loss, simple manipulations, minor complications and excellent postoperative recovery times.

Key words: retroperitoneoscopy , enucleation , distal pancreatectomy , pancreas