摘要
目的报道并总结15例胰腺中段切除的手术经验。方法2001年1月至2005年10月期间共有15例患者接受胰腺中段切除手术,其中女11例,男4例;年龄23.8～73.1岁,平均49.4岁;神经内分泌肿瘤8例(其中5例为无功能性),浆液性囊腺瘤5例,黏液性囊腺瘤2例。均采用近端胰腺残端缝合、远端胰腺和空肠袢Roux-en-Y端端套入式吻合。结果手术平均时间275min(179～370min),切除胰腺平均长度45mm(30～60mm),肿瘤平均最大径23mm(15～40mm)。术后发生胰瘘4例(26.7%),其中3例(20.0%)伴有出血。随访时间3个月～5年(平均23个月),1例重症感染伴发多器官功能衰竭者于术后3个月死亡;其余均存活,且随访期间均无新发糖尿病。结论胰腺中段切除是一种治疗胰腺颈体部良性肿瘤和交界性肿瘤的有效方法。
Objective To summarize the experiences of middle pancreatectomy. Methods Eleven female and 4 male with a mean age of 49.4 years （23.8--73.1 years） who underwent middle pancreatectomy from January 2001 to October 2005 were collected. Eight patients with neuroendocrine tumor （non-function of 5 cases）, 5 with serous cystadenomas and 2 with mucinous cystadenomas were included. The proximal apical end of pancreas was sutured, while distal end of pancreas was anastomosed to a Roux-en-Y jejunal loop. Results Mean operative time was 275 min （179--370 min）, mean length of resected pancreas was 45 mm （30--60 mm） and max diameter of tumor was 23 mm （15--40 mm）. Complication after operation was pancreatic fistula [4 cases （26.7%）], in which 3 cases （20.0%） had intraabdominal blood. The mean time of follow-up was 23 months （3 months--5 years）, one patient was died of multiple organs failure for pulmonary infections in month 3 after operation, and the others were alive without novo-diabetes. Conclusion Middle pancreatectomy is an effective operation for benign and borderline tumors of neck and body of pancreas without a significant increase of postoperative morbidity.
出处
《中国普外基础与临床杂志》
CAS
2009年第6期478-480,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
胰腺颈部肿瘤
胰腺中段切除
胰瘘
胰空肠吻合
Tumor of pancreatic neck
Middle pancreatectomy
Pancreatic fistula
Pancreaticojejunostomy
