摘要
目的 总结腹腔镜下囊肿-胃吻合术治疗胰腺假性囊肿的临床经验和疗效.方法 回顾性分析5例实施完全腹腔镜下囊肿-胃吻合术的胰腺假性囊肿患者资料,观察手术时间、出血量、肛门恢复排气时间、住院时间及并发症,记录随访结果.结果 5例手术均腹腔镜下完成,无中转开腹;手术时间为120～200 min,平均150 min,出血量50～200 mL,平均100 mL,2.5 d肛门排气,术后平均住院时间为8d.5例患者均顺利恢复,无并发症发生,随访1年,无胰腺炎、糖尿病和肠粘连等并发症发生,囊肿无复发.结论 完全腹腔镜胰腺假性囊肿-胃吻合术是安全可行的,具有创伤小、恢复快及并发症少等优点,值得推广.
Objective To summarize the clinical experiences and effect of laparoscopic cystogastrostomy in the treat ment of pancreatic pseudocyst. Methods The clinical data of 5 cases who received totally laparoscopic cystogastrostomy was retrospectively analyzed. The data including operative time, intraoperative bleeding, time of first flatus, duration of hospital stay and complication were observed, then the follow-up results were recorded. Results All operations were carried out successfully with laparoscopic surgery. The operative time was 120-200 rain, with the average of 150 rain. The intraoperative blood loss was 50-200 mL, with the average of 100 mL. The mean time of first flatus was 2.5 d. The average hospital stay was 8 days. All patients recovered smoothly without complication. No complication occurred in the 5 cases for 1 year of follow-up. Conclusion Totally laparoscopic cystogastrostomy is safe and feasible, which has advantage of minimally invasive, fast recovery and fewer complications. It is worthy of clinical application.
出处
《中国医药导报》
CAS
2014年第5期152-154,158,共4页
China Medical Herald
基金
浙江省省市共建医药卫生专项基金计划(编号2010SSA008)
关键词
腹腔镜
胰腺假性囊肿
胃吻合术
Laparoscopy, Pancreatic pseudocyst
Cystogastrostomy
