摘要
目的探讨Kimura法保留脾脏的腹腔镜胰体尾切除术的安全性和可行性。方法回顾性分析2016年8月~2019年3月Kimura法保留脾脏的腹腔镜胰体尾切除术11例资料。均为胰体尾部单发病灶,直径2.0~5.0 cm,平均3.5 cm。结果11例手术均顺利完成,无中转开腹。手术时间125~185 min,平均155 min;出血量35~100 ml,平均65 ml,术中均未输注血制品;围手术期无死亡,无腹腔出血、B级或C级胰漏、脾梗死等严重并发症发生。术后住院6~12 d,平均7.8 d。11例随访1~32个月,中位数16个月,均未见肿瘤复发、转移及脾梗死。结论Kimura法保留脾脏的腹腔镜胰体尾切除术安全、可行。
Objective To investigate the safety and feasibility of laparoscopic spleen-preserving distal pancreatectomy(LSPDP)with Kimura procedure.Methods From August 2016 to March 2019,clinical data of 11 patients who underwent LSPDP with Kimura procedure were retrospectively analyzed.All the patients had a single lesion at the body and tail of the pancreas,with a diameter of 2.0-5.0 cm(mean,3.5 cm).Results The LSPDP with Kimura procedure was completed successfully in the 11 cases.The mean operative time was 155 min(range,125-185 min).The mean blood loss was 65 ml(range,35-100 ml).None of the patients required intraoperative transfusion of red cells or blood products.No patient died during hospital stay.No patients experienced serious postoperative complications such as abdominal hemorrhage,grade B or C pancreatic leakage,spleen infarction and so on.The mean hospital stay after surgery was 7.8 d(range,6-12 d).All the 11 patients were followed up for 1-32 months with a median of 16 months.No tumor recurrence and metastasis were noted in all the patients.Conclusion LSPDP with Kimura procedure is safe,feasible and efficient,being worthy of popularization in clinical settings.
作者
马靖
王卫东
刘清波
林杰
何威
陈坚平
Ma Jing;Wang Weidong;Liu Qingbo(Department of Hepatopancreatobiliary Surgery, Shunde Hospital of Southern Medical University, First People’s Hospital of Shunde District, Foshan 528308, China)
出处
《中国微创外科杂志》
CSCD
北大核心
2020年第3期250-253,共4页
Chinese Journal of Minimally Invasive Surgery
基金
佛山市卫生和计生局医学科研课题(20190359)
关键词
保留脾脏
腹腔镜
胰体尾切除术
Spleen-preserve
Laparoscopy
Distal pancreatectomy
