腹腔镜保留脾脏胰体尾切除术(附7例报道)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 芮建锐 ¹ , 杨新文 ² ,  韩玮 ¹ , 林海 ¹ , 何铁英 ¹ , 陈启龙 ¹

1. ;
2. ;

Corresponding author：

韩玮, Email: 13999846637@139.com

Keywords：

腹腔镜; 胰腺体尾切除术; 保留脾脏

DOI：

10.7507/1007-9424.20150360

Video：

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目的探讨经腹腔镜下保留脾脏胰体尾切除术（LSPDP）在治疗胰腺体尾部良性肿瘤的可行性及手术技巧。方法对我院2009年6月至2013年12月期间行LSPDP治疗7例胰腺体尾部良性肿瘤患者的临床资料进行回顾性分析。结果 7例均无中转开腹，平均手术时间218.57 min（120～300 min），术中平均出血量135.71 mL（50～300 mL），术后平均住院时间12.14 d（7～21 d）。术后2例B级胰瘘，经充分引流后出院；1例脾下极局灶性梗死，经保守治疗后治愈。术后病理诊断：胰腺浆液性囊腺瘤4例，胰腺神经内分泌肿瘤3例。术后随访12～48个月，均未出现脾梗死和食管胃底静脉曲张、出血。结论对胰腺体尾部良性肿瘤患者行LSPDP具有恢复快、并发症少等优点。

Citation： 芮建锐, 杨新文, 韩玮, 林海, 何铁英, 陈启龙. 腹腔镜保留脾脏胰体尾切除术(附7例报道). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(11): 1376-1378. doi: 10.7507/1007-9424.20150360 Copy

1.	陈杰.胰腺肿瘤的病理诊断和鉴别诊断.临床肝胆病杂志, 2013, 29(1):45-49.
2.	邱福南, 吴嘉艺, 田毅峰, 等.完全腹腔镜下保留脾脏胰体尾切除术12例分析.临床肝胆病杂志, 2014, 30(1):42-45.
3.	Kimura W, Inoue T, Futakawa N, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Surgery, 1996, 120(5):885-890.
4.	Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg, 1988, 123(5):550-553.
5.	代文杰, 朱化强, 姜洪池.保留脾脏胰体尾切除术临床应用与评价.中国实用外科杂志, 2008, 28(9):776-777.
6.	Shoup M, Brennan MF, McWhite K, et al. The value of splenic preservation with distal pancreatectomy. Arch Surg, 2002, 137(2):164-168.
7.	Govil S, Imrie CW. Value of splenic preservation during distal pancreatectomy for chronic pancreatitis. Br J Surg, 1999, 86(7):895-898.
8.	许守平, 姜洪池.脾脏外科进展.中国中西医结合外科杂志, 2010, 16(2):134-137.
9.	戴梦华, 石宁, 刘尚龙, 等.腹腔镜保留脾脏胰体尾切除术.中华普外科手术学杂志:电子版, 2013, 7(3):183-185.
10.	Worhunsky DJ, Zak Y, Dua MM, et al. Laparoscopic spleen-preserving distal pancreatectomy:the technique must suit the lesion. J Gastrointest Surg, 2014, 18(8):1445-1451.
11.	Bruzoni M, Sasson AR. Open and laparoscopic spleen-preserving, splenic vessel-preserving distal pancreatectomy:indications and outcomes. J Gastrointest Surg, 2008, 12(7):1202-1206.
12.	王传磊, 王英超, 刘亚辉, 等.腹腔镜保脾、胰体尾切除术14例及手术入路.中国老年学杂志, 2012, 32(6):1289-1290.
13.	丁向民, 谈景旺, 钱建军, 等.腹腔镜下保留脾脏的胰体尾切除术4例.中国现代普通外科进展, 2011, 14(11):861-864.
14.	Bassi C, Butturini G, Molinari E, et al. Pancreatic fistula rate after pancreatic resection. The importance of definitions. Dig Surg, 2004, 21(1):54-59.
15.	Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula:an international study group (ISGPF) definition. Surgery, 2005, 138(1):8-13.
16.	Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. Surg Endosc, 2011, 25(3):867-871.

1. 陈杰.胰腺肿瘤的病理诊断和鉴别诊断.临床肝胆病杂志, 2013, 29(1):45-49.
2. 邱福南, 吴嘉艺, 田毅峰, 等.完全腹腔镜下保留脾脏胰体尾切除术12例分析.临床肝胆病杂志, 2014, 30(1):42-45.
3. Kimura W, Inoue T, Futakawa N, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Surgery, 1996, 120(5):885-890.
4. Warshaw AL. Conservation of the spleen with distal pancreatectomy. Arch Surg, 1988, 123(5):550-553.
5. 代文杰, 朱化强, 姜洪池.保留脾脏胰体尾切除术临床应用与评价.中国实用外科杂志, 2008, 28(9):776-777.
6. Shoup M, Brennan MF, McWhite K, et al. The value of splenic preservation with distal pancreatectomy. Arch Surg, 2002, 137(2):164-168.
7. Govil S, Imrie CW. Value of splenic preservation during distal pancreatectomy for chronic pancreatitis. Br J Surg, 1999, 86(7):895-898.
8. 许守平, 姜洪池.脾脏外科进展.中国中西医结合外科杂志, 2010, 16(2):134-137.
9. 戴梦华, 石宁, 刘尚龙, 等.腹腔镜保留脾脏胰体尾切除术.中华普外科手术学杂志:电子版, 2013, 7(3):183-185.
10. Worhunsky DJ, Zak Y, Dua MM, et al. Laparoscopic spleen-preserving distal pancreatectomy:the technique must suit the lesion. J Gastrointest Surg, 2014, 18(8):1445-1451.
11. Bruzoni M, Sasson AR. Open and laparoscopic spleen-preserving, splenic vessel-preserving distal pancreatectomy:indications and outcomes. J Gastrointest Surg, 2008, 12(7):1202-1206.
12. 王传磊, 王英超, 刘亚辉, 等.腹腔镜保脾、胰体尾切除术14例及手术入路.中国老年学杂志, 2012, 32(6):1289-1290.
13. 丁向民, 谈景旺, 钱建军, 等.腹腔镜下保留脾脏的胰体尾切除术4例.中国现代普通外科进展, 2011, 14(11):861-864.
14. Bassi C, Butturini G, Molinari E, et al. Pancreatic fistula rate after pancreatic resection. The importance of definitions. Dig Surg, 2004, 21(1):54-59.
15. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula:an international study group (ISGPF) definition. Surgery, 2005, 138(1):8-13.
16. Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. Surg Endosc, 2011, 25(3):867-871.

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腹腔镜保留脾脏胰体尾切除术(附7例报道)

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