完全腹腔镜胰十二指肠切除术6例临床疗效分析

目的 评估完全腹腔镜胰十二指肠切除术（laparoscopic pancreaticoduodenectomy，LPD）的可行性、安全性。方 法 采用LPD 治疗胰头或十二指肠肿瘤患者6 例，回顾性分析手术时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、术后住院天数、手术并发症发生率及术后短期疗效。结果 6 例手术均在完全腹腔镜下完成，无中转开腹病例。手术时间（380.5±38.1）min；出血量（241.7±189.3）ml；清扫淋巴结（15.3±2.8）枚；平均肛门排气时间（3.5±1.0）d；术后住院（14.0±5.7）d。手术并发症发生率为33.3％（2/6），其中轻度胰漏1例，肺炎1例；本组患者术后随访3~12个月，无肿瘤复发及转移。结论 LPD 安全、可行，能达到胰头或十二指肠肿瘤根治性切除的目的。

Clinical analysis of 6 patients undergoing total laparoscopic pancreaticoduodenectomy

Objective To evaluate safety, feasibility of total laparoscopic pancreaticoduodenectomy (LPD). Methods Medical records of 6 consecutive patients who underwent LPD between November 2013 and December 2014 were reviewed retrospectively.The short-term outcomes of these patients were examined. Results There were no conversions to open procedures.The operative time was (380.5±38.1) min. The blood loss was (241.7±189.3)ml. The resected lymph node was (15.3±2.8), the time to first flatus was (3.5±1.0) d. The length of hospital stay was (14.0±5.7) d. Postoperative mobidity included mild pancreatic leak (1 case) and pneumonia (1 case). There was no perioperative death. Conclusion LPD can be performed safely with adequate lymphadenectomy.