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目的探讨经腹腔镜下保留脾脏胰体尾切除术(LSPDP)在治疗胰腺体尾部良性肿瘤的可行性及手术技巧。方法对我院2009年6月至2013年12月期间行LSPDP治疗7例胰腺体尾部良性肿瘤患者的临床资料进行回顾性分析。结果 7例均无中转开腹,平均手术时间218.57 min(120~300 min),术中平均出血量135.71 m L(50~300 m L),术后平均住院时间12.14 d(7~21 d)。术后2例B级胰瘘,经充分引流后出院;1例脾下极局灶性梗死,经保守治疗后治愈。术后病理诊断:胰腺浆液性囊腺瘤4例,胰腺神经内分泌肿瘤3例。术后随访12~48个月,均未出现脾梗死和食管胃底静脉曲张、出血。结论对胰腺体尾部良性肿瘤患者行LSPDP具有恢复快、并发症少等优点。
Objective To investigate the feasibility and surgical technique of laparoscopic splenic pancreatic tail resection (LSPDP) in the treatment of benign tumors of the tail of the pancreas. Methods The clinical data of 7 patients with benign pancreatic body tumors undergoing LSPDP from June 2009 to December 2013 in our hospital were analyzed retrospectively. Results The average operation time was 218.57 min (120 ~ 300 min), mean intraoperative blood loss was 135.71 m L (50 ~ 300 m L) and average postoperative hospital stay was 12.14 d (7 ~ 21 d) . Two cases of grade B pancreatic fistula were discharged after full drainage. One case had extremely focal infarction of the spleen and was cured after conservative treatment. Postoperative pathological diagnosis: pancreatic cystadenoma in 4 cases, pancreatic neuroendocrine tumors in 3 cases. All the patients were followed up for 12-48 months. No splenic infarction and esophageal varices and hemorrhage occurred. Conclusion The LSPDP in patients with benign tumor of the tail of the pancreas has the advantages of rapid recovery and few complications.