三维CT重建联合吲哚菁绿显影技术应用于腹腔镜保留十二指肠胰头切除术2例报道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

张帅 ¹ , 费发珠 ¹ , 韩欣 ² , 王伟 ¹ , 邵艺超 ¹ , 杨新涛 ¹ , 王海久 ¹ ,  侯立朝 ¹

1. ;
2. ;

Corresponding author：

侯立朝, Email: zhuoyue_1973@163.com

Keywords：

胰腺肿瘤; 腹腔镜; 三维重建; 吲哚菁绿; 保留十二指肠胰头切除术

DOI：

10.7507/1007-9424.202311023

Video：

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目的探讨三维CT重建联合吲哚菁绿显影技术应用于腹腔镜保留十二指肠胰头切除术（laparoscopic duodenum-preserving pancreatic head resection，LDPPHR）相关经验。方法回顾性分析青海大学附属医院2022年5月至2022年8月期间在三维CT重建联合吲哚菁绿荧光导航下行LDPPHR 2例患者的临床资料。结果 2例患者均顺利完成LDPPHR，病例1和病例2的年龄分别为53和55岁，均为女性，手术时间分别为445 min和425 min，术中出血量分别为200 mL和250 mL，均使用了负压冲洗引流管。病例2术后发生胰腺生化漏，经治疗后均恢复正常。2例均未发生严重并发症。病例1和病例2术后住院时间分别为12 d和25 d，术后病理学检查结果提示病例1为胰腺浆液性囊腺瘤、病例2为胰腺真性上皮性囊肿。病例1和病例2术后随访时间分别为13个月和10个月，随访期间内均未出现胰腺内、外分泌功能障碍。结论三维CT重建联合吲哚菁绿应用于LDPPHR是一种安全、有效的手术方式，能有效辨别术中胆管解剖结构，并能发现术中微小胆管损伤，避免术后胆汁漏的发生。

Citation： 张帅, 费发珠, 韩欣, 王伟, 邵艺超, 杨新涛, 王海久, 侯立朝. 三维CT重建联合吲哚菁绿显影技术应用于腹腔镜保留十二指肠胰头切除术2例报道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(7): 870-873. doi: 10.7507/1007-9424.202311023 Copy

1.	Beger HG, Krautzberger W, Bittner R, et al. Duodenum-sparing pancreas head resection in chronic pancreatitis—results after 10 years’ use. Langenbecks Arch Chir, 1984, 362(4): 229-236.
2.	Beger HG, Witte C, Krautzberger W, et al. Experiences with duodenum-sparing pancreas head resection in chronic pancreatitis. Chirurg, 1980, 51(5): 303-307.
3.	Beger HG, Siech M, Poch B. Duodenumerhaltende totale pankreaskopfresektion. Der Chirurg, 2013, 84(5): 412-420.
4.	李兆申, 金震东, 李汛. 中国胰腺囊性肿瘤诊断指南(2022年). 临床肝胆病杂志, 2023, 39(2): 290-298.
5.	张太平, 罗文浩, 邱江东, 等. 对胰腺囊性肿瘤手术指征的再思考. 中华外科杂志, 2022, 60(7): 646-650.
6.	Diener MK, Hüttner FJ, Kieser M, et al. Partial pancrea-toduodenectomy versus duodenum-preserving pancreatic head resection in chronic pancreatitis: the multicentre, randomised, controlled, double-blind ChroPac trial. Lancet, 2017, 390(10099): 1027-1037.
7.	Takada T, Yasuda H, Amano H, et al. A duodenum-preserving and bile duct–preserving total pancreatic head resection with associated pancreatic duct-to-duct anastomosis. J Gastrointest Surg, 2004, 8(2): 220-224.
8.	Cai Y, Zheng Z, Gao P, et al. Laparoscopic duodenum-preserving total pancreatic head resection using real-time indocyanine green fluorescence imaging. Surg Endosc, 2021, 35(3): 1355-1361.
9.	范应方, 方驰华. 三维可视化技术在肝胆外科临床应用的争议与共识. 中国实用外科杂志, 2018, 38(2): 137-141.
10.	Inoue Y, Saiura A, Arita J, et al. Hepatic vein-oriented liver resection using fusion indocyanine green fluorescence imaging. Ann Surg, 2015, 262(6): e98-e99. doi: 10.1097/SLA.0000000000000833.
11.	Lu C, Xu B, Mou Y, et al. Laparoscopic duodenum-preserving pancreatic head resection with real-time indocyanine green guidance of different dosage and timing: enhanced safety with visualized biliary duct and its long-term metabolic morbidity. Langenbecks Arch Surg, 2022, 407(7): 2823-2832.
12.	Beger HG, Mayer B, Rau BM. Parenchyma-sparing, limited pancreatic head resection for benign tumors and low-risk periampullary cancer—a systematic review. J Gastrointest Surg, 2016, 20(1): 206-217.
13.	王强. 不同负压引流模式对胰十二指肠切除术后并发症的影响. 复旦大学, 2014.
14.	董家鸿, 杨世忠. 精准肝切除的技术特征与临床应用. 中国实用外科杂志, 2010, 30(8): 638-640.
15.	Cao J, Li G, Wei J, et al. Laparoscopic duodenum-preserving total pancreatic head resection: a novel surgical approach for benign or low-grade malignant tumors. Surg Endosc, 2019, 33(2): 633-638.
16.	韩蔷, 吴昊钧, 陈利平. 三维重建及吲哚菁绿辅助下开展腹腔镜保留十二指肠胰头切除术1例报道. 中国普外基础与临床杂志, 2022, 29(9): 1160-1164.

1. Beger HG, Krautzberger W, Bittner R, et al. Duodenum-sparing pancreas head resection in chronic pancreatitis—results after 10 years’ use. Langenbecks Arch Chir, 1984, 362(4): 229-236.
2. Beger HG, Witte C, Krautzberger W, et al. Experiences with duodenum-sparing pancreas head resection in chronic pancreatitis. Chirurg, 1980, 51(5): 303-307.
3. Beger HG, Siech M, Poch B. Duodenumerhaltende totale pankreaskopfresektion. Der Chirurg, 2013, 84(5): 412-420.
4. 李兆申, 金震东, 李汛. 中国胰腺囊性肿瘤诊断指南(2022年). 临床肝胆病杂志, 2023, 39(2): 290-298.
5. 张太平, 罗文浩, 邱江东, 等. 对胰腺囊性肿瘤手术指征的再思考. 中华外科杂志, 2022, 60(7): 646-650.
6. Diener MK, Hüttner FJ, Kieser M, et al. Partial pancrea-toduodenectomy versus duodenum-preserving pancreatic head resection in chronic pancreatitis: the multicentre, randomised, controlled, double-blind ChroPac trial. Lancet, 2017, 390(10099): 1027-1037.
7. Takada T, Yasuda H, Amano H, et al. A duodenum-preserving and bile duct–preserving total pancreatic head resection with associated pancreatic duct-to-duct anastomosis. J Gastrointest Surg, 2004, 8(2): 220-224.
8. Cai Y, Zheng Z, Gao P, et al. Laparoscopic duodenum-preserving total pancreatic head resection using real-time indocyanine green fluorescence imaging. Surg Endosc, 2021, 35(3): 1355-1361.
9. 范应方, 方驰华. 三维可视化技术在肝胆外科临床应用的争议与共识. 中国实用外科杂志, 2018, 38(2): 137-141.
10. Inoue Y, Saiura A, Arita J, et al. Hepatic vein-oriented liver resection using fusion indocyanine green fluorescence imaging. Ann Surg, 2015, 262(6): e98-e99. doi: 10.1097/SLA.0000000000000833.
11. Lu C, Xu B, Mou Y, et al. Laparoscopic duodenum-preserving pancreatic head resection with real-time indocyanine green guidance of different dosage and timing: enhanced safety with visualized biliary duct and its long-term metabolic morbidity. Langenbecks Arch Surg, 2022, 407(7): 2823-2832.
12. Beger HG, Mayer B, Rau BM. Parenchyma-sparing, limited pancreatic head resection for benign tumors and low-risk periampullary cancer—a systematic review. J Gastrointest Surg, 2016, 20(1): 206-217.
13. 王强. 不同负压引流模式对胰十二指肠切除术后并发症的影响. 复旦大学, 2014.
14. 董家鸿, 杨世忠. 精准肝切除的技术特征与临床应用. 中国实用外科杂志, 2010, 30(8): 638-640.
15. Cao J, Li G, Wei J, et al. Laparoscopic duodenum-preserving total pancreatic head resection: a novel surgical approach for benign or low-grade malignant tumors. Surg Endosc, 2019, 33(2): 633-638.
16. 韩蔷, 吴昊钧, 陈利平. 三维重建及吲哚菁绿辅助下开展腹腔镜保留十二指肠胰头切除术1例报道. 中国普外基础与临床杂志, 2022, 29(9): 1160-1164.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

三维CT重建联合吲哚菁绿显影技术应用于腹腔镜保留十二指肠胰头切除术2例报道

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