| 保留脾脏胰体尾切除术的临床探讨 |
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| 引用本文： | 林海| 王护国| 陈启龙| 王喜艳| 韩玮| 何铁英| 程坤. 保留脾脏胰体尾切除术的临床探讨[J]. 中国普通外科杂志, 2011, 20(9): 913-916 |
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| 作者姓名： | 林海| 王护国| 陈启龙| 王喜艳| 韩玮| 何铁英| 程坤 |
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| 作者单位： | 新疆医科大学第一附属医院消化血管外科中心胰腺外科;新疆医科大学第一附属医院消化血管外科中心血管甲状腺外科; |
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| 摘 要： | 目的探讨保留脾脏胰体尾切除术的可行性和安全性。方法总结2006年2月—2010年8月1 6例胰体尾部良性和交界性病变实行了保留脾脏的胰体尾切除术的临床资料,其中15例为保留脾脏血管胰体尾切除,1例为切断脾血管保留脾脏胰体尾切除。结果术后发生胰瘘9例,切口感染1例,腹腔出血3例(其中1例为胰瘘后发生出血),胸腔积液2例。9例胰瘘者,8例经非手术治疗,3~7周痊愈,1例并发出血后行数字减影脾动脉栓塞止血,第17周痊愈。另2例腹腔出血者,1例经非手术治疗治愈,1例二次手术,见脾静脉分支出血,结扎止血。全组无死亡病例。结论胰体尾部良性和交界性肿瘤,可首先选择保留脾脏的胰体尾切除术,手术安全,疗效好。
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| 关 键 词： | 胰腺肿瘤/外科学 保留脾脏 胰体尾切除 |
| 收稿时间： | 2010-11-24 |
| 修稿时间： | 2011-07-07 |
Clinical study on spleen-preserving distal pancreatectomy |
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| LIN Hai,WANG Huguo,CHENG Qilong,WANG Xiyan,HAN Wei,HE Tieying,CHEN K. Clinical study on spleen-preserving distal pancreatectomy[J]. Chinese Journal of General Surgery, 2011, 20(9): 913-916 |
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| Authors: | LIN Hai WANG Huguo CHENG Qilong WANG Xiyan HAN Wei HE Tieying CHEN K |
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| Affiliation: | LIN Hai1,WANG Huguo2,CHENG Qilong1,WANG Xiyan1,HAN Wei1,HE Tieying1,CHEN Kun1(1.Department of Pancreatic Surgery 2.Department of Vascular and Thyroid Surgery,Center of Digestive and Vascular Surgery,the Fisrt Affiliated Hospital,Xingjiang Medical University,Urumqi 830054,China) |
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| Abstract: | Objective To evaluate the feasibility and safety of spleen-preserving distal pancreatectomy.Methods From February 2006 to Agust 2010,a total of 16 patients with benign or junctional tumor in the body and tail of pancreas underwent spleen-preserving distal pancreatectomy(SPDP) at our center.Of the patients,15 cases underwent SPDP with conservation of splenic vessels and one case with dissection of splenic vessels.Results Postoperative complications included 9 cases of pancreatic fistula,one case of wound inf... |
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| Keywords: | Pancreatic Neoplasms/surg Preserving Spleen Pancreatic Body-tail Resection |
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