后入路腹腔镜胰腺假性囊肿胃吻合术

目的：探讨腹腔镜下胰腺假性囊肿胃吻合技术在治疗胰腺假性囊肿手术中的临床应用价值。方法：回顾 分析收治的胰腺假性囊肿患者21例。患者均行完全腹腔镜下胰腺假性囊肿胃吻合术。分析患者的术中出血量、手术 时间、术后下床时间、排气和排便时间、术后并发症、住院时间及随访结果。结果：21例均成功施行腹腔镜下手 术。平均手术时间为90(62~120) min，术中出血量均在100 mL以内，术后平均住院时间为8 d。术后随访12~18个月， 患者恢复良好，均无并发症发生。结论：全腹腔镜经后入路胰腺假性囊肿胃吻合术安全可行，创伤小，值得临床推 广应用。

Laparoscopic cystogastrostomy with posterior approach for pancreatic pseudocyst drainage

Objective: To determine the clinical value of laparoscopic cystogastrostomy in the treatment of pancreatic pseudocyst. Methods: Twenty-one patients with pancreatic pseudocyst received total laparoscopic cystogastrostomy. The data on intra-operative bleeding, operative time, post-operative time to get out of bed, time of first flatus/bowel motion, complication and duration of hospital stay were observed and analyzed retrospective1y. Results: Twenty-one patients were successfully carried out the laparoscopic surgery. The average operation time was 90(62–120) min. The blood loss was less than 100 mL in all patients. The average time of hospital stay was 8 d. After 12–18 month follow-up, all patients recovered smoothly without any complication. Conclusion: Total laparoscopic cystogastrostomy with the posterior approach is a feasible, safe and minimal invasive procedure for pancreatic pseudocyst, which can be recommended to the clinical application.