腹腔镜辅助保留十二指肠胰头次全切除术治疗胰头实性假乳头状瘤并文献复习
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摘要
目的探讨腹腔镜辅助保留十二指肠胰头次全切除术的可行性及临床价值。方法回顾性分析该院2015-08完成的1例腹腔镜辅助保留十二指肠胰头次全切除术治疗胰头实性假乳头状瘤的临床资料。结果手术时间为185 min,术中出血量为100 ml,术中未予输血,术后生命体征平稳。胰肠吻合口引流量术后第3天最多为150 ml,于术后第7天拔除引流管。术后第10天情况稳定,恢复良好。结论腹腔镜辅助保留十二指肠胰头次全切除术是安全可行的,并具备一定的微创优势。
Objective To evaluate the feasibility and clinical value of laparoscopic assisted duodenum-preserving and pancreatic head resection. Methods The clinical data of one patient with solid pseudopapillary neoplasm of the pancreas treated by laparoscopic assisted subtotal resection of the duodenum and pancreas in our hospital in August 2015 were retrospectively analyzed. Results The operation time was about 185 min,and the intraoperative blood loss was 100 ml. No blood transfusion was performed during the operation,and the vital signs were stable after the operation. The volume of drainage was 150 ml at its maximum three days after the operation,and the drainage tube was removed on the seventh postoperative day. The patient's condition was stable and recovered well ten days after the operation. Conclusion Laparoscopic assisted duodenum-preserving and pancreatic head resection is safe and feasible for the treatment of solid pseudopapillary neoplasm of the pancreas.
Objective To evaluate the feasibility and clinical value of laparoscopic assisted duodenum-preserving and pancreatic head resection. Methods The clinical data of one patient with solid pseudopapillary neoplasm of the pancreas treated by laparoscopic assisted subtotal resection of the duodenum and pancreas in our hospital in August 2015 were retrospectively analyzed. Results The operation time was about 185 min,and the intraoperative blood loss was 100 ml. No blood transfusion was performed during the operation,and the vital signs were stable after the operation. The volume of drainage was 150 ml at its maximum three days after the operation,and the drainage tube was removed on the seventh postoperative day. The patient's condition was stable and recovered well ten days after the operation. Conclusion Laparoscopic assisted duodenum-preserving and pancreatic head resection is safe and feasible for the treatment of solid pseudopapillary neoplasm of the pancreas.
引文
1 Aspelund G,Topazian MD,Lee JH,et al.Improved outcomes for benign disease with limited pancreatic head resection[J].J Gastrointest Surg,2005,9(3):400-409.
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4 谢彬,王槐志.保留十二指肠胰头切除术的手术要点及适应证把握[J].肝胆外科杂志,2014,22(1):5-7.
5 罩虹,董明,周建平,等.保留器官功能胰腺切除76例报告[J].中国实用外科杂志,2012,32(9):91-94.
6 赵玉沛,胡亚,廖泉,等.胰腺实性假乳头状瘤的诊断和治疗[J].中华外科杂志,2005,43(1):53-55.
7 Ito K.Duodenun preservation in pancreatic head resection to maintain pancreatic exocrine function(determined by pancreatic function diagnostant test and cholecystokinin secretion)[J].J Hepatobiliary Pancreat Surg,2005,12(2):123-128.
8 洪德飞,林志川,张宇华,等.保留十二指肠和胆管完整性胰头切除术31例报告[J].中华肝胆外科杂志,2017,23(3):176-180.
2 Beger HG,Rau BM,Gansauge F,et al.Duodenum preserving subtotal and total pancreatic head resections for inflammatory and cystic neoplastic lesions of the pancreas[J].J Gastrointest Surg,2008,12(6):1127-1132.
3 Witzigmann H,Max D,Uhlmann D,et al.Outcome after duodenumpreserving pancreatic head resection is impmved compared with classic Whipple procedure in the treatment of chronic panereatitis[J].Surgery,2003,134(1):53-62.
4 谢彬,王槐志.保留十二指肠胰头切除术的手术要点及适应证把握[J].肝胆外科杂志,2014,22(1):5-7.
5 罩虹,董明,周建平,等.保留器官功能胰腺切除76例报告[J].中国实用外科杂志,2012,32(9):91-94.
6 赵玉沛,胡亚,廖泉,等.胰腺实性假乳头状瘤的诊断和治疗[J].中华外科杂志,2005,43(1):53-55.
7 Ito K.Duodenun preservation in pancreatic head resection to maintain pancreatic exocrine function(determined by pancreatic function diagnostant test and cholecystokinin secretion)[J].J Hepatobiliary Pancreat Surg,2005,12(2):123-128.
8 洪德飞,林志川,张宇华,等.保留十二指肠和胆管完整性胰头切除术31例报告[J].中华肝胆外科杂志,2017,23(3):176-180.