引用本文:余 杰,张永平,刘建生,郭建昇,常进军,魏志刚.腹腔镜辅助保留十二指肠胰头次全切除术治疗胰头实性假乳头状瘤并文献复习[J].中国临床新医学,2018,11(2):155-157.
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腹腔镜辅助保留十二指肠胰头次全切除术治疗胰头实性假乳头状瘤并文献复习
余 杰,张永平,刘建生,郭建昇,常进军,魏志刚
030001 太原,山西医科大学第一医院普外科
摘要:
[摘要] 目的 探讨腹腔镜辅助保留十二指肠胰头次全切除术的可行性及临床价值。方法 回顾性分析该院2015-08完成的1例腹腔镜辅助保留十二指肠胰头次全切除术治疗胰头实性假乳头状瘤的临床资料。结果 手术时间为185 min,术中出血量为100 ml,术中未予输血,术后生命体征平稳。胰肠吻合口引流量术后第3天最多为150 ml,于术后第7天拔除引流管。术后第10天情况稳定,恢复良好。结论 腹腔镜辅助保留十二指肠胰头次全切除术是安全可行的,并具备一定的微创优势。
关键词:  腹腔镜  保留十二指肠胰头切除术  实性假乳头状瘤
DOI:10.3969/j.issn.1674-3806.2018.02.14
分类号:R 656
基金项目:
Laparoscopic-assisted duodenum-preserving pancreatic head resection in treatment of solid pseudopapillary tumors of the pancreas and literature review
YU Jie, ZHANG Yong-ping, LIU Jian-sheng, et al.
Department of General Surgery, the First Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
Abstract:
[Abstract] Objective To evaluate the feasibility and clinical value of laparoscopic assisted duodenum-preserving and pancreatic head resection.Methods The clinical data of one patient with solid pseudopapillary neoplasm of the pancreas treated by laparoscopic assisted subtotal resection of the duodenum and pancreas in our hospital in August 2015 were retrospectively analyzed.Results The operation time was about 185 min, and the intraoperative blood loss was 100 ml. No blood transfusion was performed during the operation, and the vital signs were stable after the operation. The volume of drainage was 150 ml at its maximum three days after the operation, and the drainage tube was removed on the seventh postoperative day. The patient′s condition was stable and recovered well ten days after the operation.Conclusion Laparoscopic assisted duodenum-preserving and pancreatic head resection is safe and feasible for the treatment of solid pseudopapillary neoplasm of the pancreas.
Key words:  Laparoscopic  Duodenum-preserving pancreatic head resection  Solid pseudopapillary neoplasm