腹腔镜胰体尾切除术15例效果分析

目的评价腹腔镜胰体尾切除术(LDP)治疗胰体尾肿瘤的临床效果。 方法回顾2013年6月至2015年6月15例胰体尾肿瘤患者的临床资料，其中男性5例，女性10例，年龄27～70岁，均在全身麻醉下行LDP。分析手术效果。 结果15例患者均在腹腔镜下手术成功，其中保留脾脏手术6例。手术时间135～375 min，平均(267.5 ± 95.9)min。术中出血量160～450 ml，平均(285.7 ± 103.8) ml。术后并发症：胰漏1例，皮下气肿2例；保守治疗后痊愈。术后住院时间9～21 d，平均(14.8 ± 4.4)d。术后病理：胰体尾癌10例，其中导管腺癌7例，囊腺癌3例；浆液性囊腺瘤2例，黏液性囊腺瘤2例，实性假乳头状1例。 结论LDP治疗胰体尾肿瘤具有创伤小、术后并发症少、康复快等优点，是一种安全、高效的手术方法，值得在有条件的医院开展应用。

The clinical analysis of laparoscopic distal pancreatectomy in 15 patients with tumors in pancreatic body and tail

ObjectiveTo evaluate the clinical application effects of laparoscopic distal pancreatectomy(LDP) on 15 patients with tumors in pancreatic body and tail. MethodsClinical data about 15 patients with tumors in pancreatic body and tail selected from Jun. 2013 to Jun. 2015 were retrospectively analyzed.There were 5 males and 10 females among 15 cases, aged 27 to 70 years old.15 cases were given LDP under general anesthesia.The operational results were analysised. Results15 patients were successful in LDP, 6 cases received retained spleen surgery.The operation time was 135-375(267.5 ± 95.9)min; blood loss was 160-450 (285.7 ± 103.8)ml.There were 1 case of pancreatic leakage, 2 cases of subcutaneous emphysema, which were cured by conservative treatment.The postoperative hospital days were 9-21(14.8 ± 4.4)days.Postoperative pathologic results showed 10 cases of pancreatic cancer including 7 cases of ductal adenocarcinoma and 3 cases of cystadenocarcinoma, 2 cases of serous, 2 cases of mucinous cystadenoma, 1 case of real pseudopapillary. ConclusionsLDP has the advantages of small trauma, fewer complications, faster recovery as well, which was a safe and effective surgical method.