单孔腹腔镜技术在胰腺疾病中的诊治体会_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 孙志为 ,  冯幸子 , 李星逾

云南省第一人民医院肝胆外科（云南昆明 650032）;

Corresponding author：

冯幸子, Email: 450050275@qq.com

Keywords：

经脐; 单孔腹腔镜; 胰腺疾病; 诊治

DOI：

10.7507/1007-9424.20160107

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的通过手术病例总结单孔腹腔镜手术在胰体尾切除中的经验体会。方法回顾性分析笔者所在医院科室5例经脐单孔腹腔镜胰体尾切除手术患者的临床资料。结果 4例行单孔腹腔镜保留脾脏胰体尾切除术，1例行单孔腹腔镜联合脾脏胰体尾切除术。经脐单孔腹腔镜手术具有手术切口少，术口小，术后疼痛不明显，术后瘢痕隐蔽，腹腔骚扰小，术后并发症少，术后住院时间短，费用低等优点。结论单孔腹腔镜胰腺手术是安全可行的，值得在临床推广。

Citation： 孙志为, 冯幸子, 李星逾. 单孔腹腔镜技术在胰腺疾病中的诊治体会. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 403-405. doi: 10.7507/1007-9424.20160107 Copy

1.	Jayaraman S, Gonen M, Brennan MF, et al. Laparoseopie distal pancreatectomy: evolution of a technique at a single institution. J Am Coll Surg, 2010, 211(4): 503-509.
2.	Suzuki O, Tanaka E, Hirano S, et al. Efficacy of the electrothermal bipolar vessel sealer in laparoseopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. J Gastrointest Surg, 2009, 13(1): 155-158.
3.	Cuschieri A, Jakimowicz JJ, Van Spreeuwel J, et al. Laparoscopic distal 70% pancreateetomy and splenectomy for chronic pancreatitis. Ann Surg, 1996, 223(3): 280-285.
4.	Malleo G, Damoli I, Marchegiani G, et al. Laparoscopic distal pancreatectomy: analysis of trends in surgical techniques, patient selection, and outcomes. Surg Endosc, 2015, 29(7): 1952-1962.
5.	周海华, 龚道军, 许龙堂, 等.保留脾脏的胰体尾切除术17例临床分析.肝胆胰外科杂志, 2014, 26(5): 424-426.
6.	Shindholimath V, Thinagaran K, Nagaraj A, et al. Spleen preserving distal pancreatecto for a large papillary cystic and solid tumor of the pancreas. Tmp Gastroenteml, 2012, 33 (4): 287-289.
7.	李磊, 修典荣, 蒋斌, 等.腹腔镜远端胰腺切除.中华普外科杂志, 2013, 28(5): 332-336.
8.	Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an intemational study group (ISGPF) definition. Surgery, 2005, 138(1): 8-13.
9.	Bassi C, BuUufini GMolinari E, et al. Pancreatic fistula rate after pancreatic resection: the importance of definitions, Dig Surg, 2004, 21(1): 54-59.
10.	Femandez-Cruz L, Martinez I, Gilabert R, et al. Laparoscopic distalpancreatectomy combined with preservation of the spleen for cystic ne-oplasms of the pancreas. J Gastrointest Surg, 2004, 8(4): 493-501.
11.	胡浩, 金昌国, 欧阳才国, 等.腹腔镜下保留脾脏的胰体尾切除术23例.肝胆外科杂志, 2015, 6(23): 173-175.
12.	Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing cornpression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. Surg Endosc, 2011, 25(25): 867-871.
13.	Jean-Philippe Adam, Alexandre Jacquin, Christophe Laurent, et al. Laparoscopic spleen-preserving distalpancreatectomy: splenic vessel preservation compared with the Wshaw technique. JAMA Surg, 2013, 148(3): 246-252.
14.	Leemans R, Manson W, Snijder JA, et al. Immuneresponse capacity after human splenic autotransplantation: restoration of response to individual pneumococcal vaccine subtypes. Ann Surg, 1999, 229(2): 279-285.
15.	Lv GY, Wang GY, Jiang C, et al. Laparoscopicspleen-preserving distal pancreatectomy with or without splenic vessel conservation: a retrospective study of 20 cases. Hepatogastrocnterology, 2013, 60 (127): 1785-1788.

1. Jayaraman S, Gonen M, Brennan MF, et al. Laparoseopie distal pancreatectomy: evolution of a technique at a single institution. J Am Coll Surg, 2010, 211(4): 503-509.
2. Suzuki O, Tanaka E, Hirano S, et al. Efficacy of the electrothermal bipolar vessel sealer in laparoseopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. J Gastrointest Surg, 2009, 13(1): 155-158.
3. Cuschieri A, Jakimowicz JJ, Van Spreeuwel J, et al. Laparoscopic distal 70% pancreateetomy and splenectomy for chronic pancreatitis. Ann Surg, 1996, 223(3): 280-285.
4. Malleo G, Damoli I, Marchegiani G, et al. Laparoscopic distal pancreatectomy: analysis of trends in surgical techniques, patient selection, and outcomes. Surg Endosc, 2015, 29(7): 1952-1962.
5. 周海华, 龚道军, 许龙堂, 等.保留脾脏的胰体尾切除术17例临床分析.肝胆胰外科杂志, 2014, 26(5): 424-426.
6. Shindholimath V, Thinagaran K, Nagaraj A, et al. Spleen preserving distal pancreatecto for a large papillary cystic and solid tumor of the pancreas. Tmp Gastroenteml, 2012, 33 (4): 287-289.
7. 李磊, 修典荣, 蒋斌, 等.腹腔镜远端胰腺切除.中华普外科杂志, 2013, 28(5): 332-336.
8. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an intemational study group (ISGPF) definition. Surgery, 2005, 138(1): 8-13.
9. Bassi C, BuUufini GMolinari E, et al. Pancreatic fistula rate after pancreatic resection: the importance of definitions, Dig Surg, 2004, 21(1): 54-59.
10. Femandez-Cruz L, Martinez I, Gilabert R, et al. Laparoscopic distalpancreatectomy combined with preservation of the spleen for cystic ne-oplasms of the pancreas. J Gastrointest Surg, 2004, 8(4): 493-501.
11. 胡浩, 金昌国, 欧阳才国, 等.腹腔镜下保留脾脏的胰体尾切除术23例.肝胆外科杂志, 2015, 6(23): 173-175.
12. Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing cornpression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. Surg Endosc, 2011, 25(25): 867-871.
13. Jean-Philippe Adam, Alexandre Jacquin, Christophe Laurent, et al. Laparoscopic spleen-preserving distalpancreatectomy: splenic vessel preservation compared with the Wshaw technique. JAMA Surg, 2013, 148(3): 246-252.
14. Leemans R, Manson W, Snijder JA, et al. Immuneresponse capacity after human splenic autotransplantation: restoration of response to individual pneumococcal vaccine subtypes. Ann Surg, 1999, 229(2): 279-285.
15. Lv GY, Wang GY, Jiang C, et al. Laparoscopicspleen-preserving distal pancreatectomy with or without splenic vessel conservation: a retrospective study of 20 cases. Hepatogastrocnterology, 2013, 60 (127): 1785-1788.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

单孔腹腔镜技术在胰腺疾病中的诊治体会

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