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作者采用Richard-wolf手术腹腔镜,取胃上径路,通过小网膜观察12例,结果10例获得成功,成功率为83.3％(其中3例正常,胰头癌、胰体癌、胰假性囊肿各1例,慢性胰腺炎4例),与临床资料、ERCP、B型超声波或BT-PABA试验结果相符。并对内窥镜直视观察胰腺的方法及其诊断价值进行了讨论。作者认为在胃上胰腺镜、胃下胰腺镜及腹膜后胰腺镜三种检查方法中以胃上径路较为容易,但观察胰头部较困难,
The author used Richard-wolf laparoscopic surgery, take the stomach path, through the small omentum observed 12 cases, the results of 10 cases were successful, the success rate was 83.3% (3 cases of normal, pancreatic cancer, pancreatic cancer, pancreatic pseudo 1 case of cyst and 4 cases of chronic pancreatitis were consistent with clinical data, ERCP, B-mode ultrasound or BT-PABA test results. The method of direct observation of pancreas with endoscope and its diagnostic value are discussed. The authors believe that in the gastric pancreatic, pancreatic, and retroperitoneal pancreatic examinations, the gastric approach is easier, but it is more difficult to observe the pancreatic head.