Kimura法保留脾脏的腹腔镜胰体尾切除术

目的探讨Kimura法保留脾脏的腹腔镜胰体尾切除术的安全性和可行性。方法回顾性分析2016年8月~2019年3月Kimura法保留脾脏的腹腔镜胰体尾切除术11例资料。均为胰体尾部单发病灶,直径2.0~5.0 cm,平均3.5 cm。结果11例手术均顺利完成,无中转开腹。手术时间125~185 min,平均155 min;出血量35~100 ml,平均65 ml,术中均未输注血制品;围手术期无死亡,无腹腔出血、B级或C级胰漏、脾梗死等严重并发症发生。术后住院6~12 d,平均7.8 d。11例随访1~32个月,中位数16个月,均未见肿瘤复发、转移及脾梗死。结论Kimura法保留脾脏的腹腔镜胰体尾切除术安全、可行。

Laparoscopic Spleen-preserving Distal Pancreatectomy With Kimura Procedure

Objective To investigate the safety and feasibility of laparoscopic spleen-preserving distal pancreatectomy(LSPDP)with Kimura procedure.Methods From August 2016 to March 2019,clinical data of 11 patients who underwent LSPDP with Kimura procedure were retrospectively analyzed.All the patients had a single lesion at the body and tail of the pancreas,with a diameter of 2.0-5.0 cm(mean,3.5 cm).Results The LSPDP with Kimura procedure was completed successfully in the 11 cases.The mean operative time was 155 min(range,125-185 min).The mean blood loss was 65 ml(range,35-100 ml).None of the patients required intraoperative transfusion of red cells or blood products.No patient died during hospital stay.No patients experienced serious postoperative complications such as abdominal hemorrhage,grade B or C pancreatic leakage,spleen infarction and so on.The mean hospital stay after surgery was 7.8 d(range,6-12 d).All the 11 patients were followed up for 1-32 months with a median of 16 months.No tumor recurrence and metastasis were noted in all the patients.Conclusion LSPDP with Kimura procedure is safe,feasible and efficient,being worthy of popularization in clinical settings.