Abstract:

Inferior head resection of the pancreas: A clinical analysis of 5 cases        ZHU Ya-yun, GAO Yang, HUANG Xiu-yan, et al. *Department of General Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
Corresponding author: YUAN Zhou, E-mail: zhouyuan669@163.com
Abstract    Objective    To discuss the surgical techniques and clinical application of the inferior head resection of the pancreas. Methods    The clinical data of five patients received inferior head resection of the pancreas from April, 2014 to May, 2016 in Department of Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital were analyzed retrospectively. Results    Postoperative pathological findings indicated one patient with insulinoma, one with solid pseudopapillary tumor of the pancreas (SPTP), and three with intra-ductal papillary tumor. Grade A pancreatic fistula occurred in two patients and grade B in the other two. Bleeding within abdominal cavity was observed in the rest one patient. Gastric emptying dysfunction was observed in two patients. No such complications as bile leakage and postoperative acute pancreatitis were found in all patients. Conclusion    Inferior head resection of the pancreas has such advantages of causing less harm and preserving more pancreatic tissue and over the traditional Whipple procedure. Thus it is practical for patients with benign or low-degree malignant occurring at the head of the pancreas.

Key words: inferior head resection of the pancreas, solid-pseudopapillary tumor of pancreas, intraductal papillary mucinous neoplasm, pancreatic neuroendocrineneoplasm, pancreatic fistula

摘要：

目的    探讨胰头下部切除术的手术技巧及临床应用。方法    回顾性分析2014年4月至2016年5月上海交通大学附属第六人民医院5例行胰头下部切除术病人临床资料。结果    5例病人术后病理学检查报告提示1例胰岛素瘤、1例胰腺实性假乳头状瘤和3例胰腺导管内乳头状瘤。术后发生A级胰瘘2例、B级胰瘘2例，合并腹腔内出血1例，胃排空障碍2例，没有胆瘘和术后急性胰腺炎发生。结论    胰头下部切除术适用于胰头良性或低度恶性肿瘤，且具有保留更多胰腺组织和损伤小的优点。

关键词: 胰头下部切除术, 胰腺实性假乳头状瘤, 胰腺导管内乳头状瘤, 胰腺神经内分泌肿瘤, 胰瘘