保留脾脏的腹腔镜胰体尾切除术治疗经验

目的 总结腹腔镜保留脾脏的胰体尾切除术的经验。方法 2003年11月和2004年12月分别对2例胰体尾囊性占位患者施行保留脾脏的腹腔镜胰体尾切除术。结果 2例手术均顺利完成,手术时间分别为220min和190min,术中出血为450ml和350ml,术后住院时间为6d和5d,术后无胰漏等并发症发生。病理诊断2例均为胰腺浆液性囊腺瘤。分别随访18个月和5个月,术前症状均得到明显缓解,未见复发。结论 对胰体尾部良性病变行保留脾脏的腹腔镜胰体尾切除术是安全可行的,具有创伤轻、恢复快、并发症少等优点。

Laparoscopic distal pancreatectomy with preservation of the spleen

OBJECTIVE: To summarize the experience of laparoscopic distal pancreatectomy with preservation of the spleen. METHODS: From Nov 2003 to Dec 2004, 2 patients with cystic lesions in the body and tail of the pancreas underwent laparoscopic distal pancreatectomy with preservation of the spleen. RESULTS: Both of the operations were successful with the operative time of 220 min and 190 min respectively, and the blood loss were 450 ml and 350 ml. There was no postoperative complication and the pathological diagnosis was pancreatic serous cystadenoma. Both patients' symptom disappeared after operation without recurrence during the follow-up of 18 and 5 months. CONCLUSION: Laparoscopic distal pancreatectomy with preservation of the spleen is safe and feasible for the management of benign tumor in the body and tail of pancreas with the advantages of reduced injury, earlier recovery and less complication.