腹腔镜胰腺囊肿治疗10例报告

目的总结分析腹腔镜对胰腺囊肿治疗的适应症、技术要点、可行性及安全性.方法回顾自2006年8月至2010年12月共完成的10例胰腺囊肿治疗病例.男6例,女4例,年龄35～60岁,平均48岁.术前诊断原发性体尾部囊肿3例,胰腺假性囊肿7例.分别行2例胰腺囊肿剥除术,1例胰腺囊肿体尾联合脾脏切除术.7例胰腺假性囊肿与空肠吻合内引流术.结果 10例手术顺利完成.全组手术时间(120±60)min,出血量(150±100)mL,住院(8±2)d.病理结果:囊腺瘤1例,真性囊肿2例,假性囊肿7例.平均随访(24±12)月,患者均无任何并发症.结论腹腔镜行胰腺囊肿切除或内引流是一种安全、快捷、有效的治疗方法.

Treatment of Pancreatic Cyst by Laparoscope in 10 Cases

Objective To summarize the adaptability,technical points,feasibility and safety in treatment of pancreatic cyst using laparoscope.Methods From August 2006 to December 2010,LC has been presented to deal with 10 cases of pncreatic cyst in which 6 male patients and 4 female patients with age from 35 to 60,48 in average.There were 3 cases of primary tail cyst by preoperative diagnosis,in which 2 cases were performed by pancreatic cyst resection and 1 cases by tail Combined with splenectomy,and 7 cases of pseudocyst was performed by Jejunal anastomosis of internal drainage.Results All these 10 cases of operation were successfully accomplished which the operation time was 120±60 min,bleeding capacity was 150±100 mL and days of hospitalization was 8±2.Pathological results: There is one case of cystadenoma,2 cases of true cyst and 7cases of pseudocyst.Patients were followed up for 24±12 months on average,and no complications occurred.Conclusion It is a safe,rapid and efficient treatment method to resect the pancreatic cyst using LC.