腹腔镜技术在胰十二指肠切除术中的应用体会 |
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引用本文: | 骆霞岗,汪宝林,张建平,赵庆洪,褚朝顺,喻春钊.腹腔镜技术在胰十二指肠切除术中的应用体会[J].中国现代医药杂志,2012,14(5):58-60. |
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作者姓名: | 骆霞岗 汪宝林 张建平 赵庆洪 褚朝顺 喻春钊 |
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作者单位: | 南京医科大学第二附属医院普外科,210011 |
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摘 要: | 目的探讨腹腔镜辅助下胰十二指肠切除术手术难点以及手术适应症。方法回顾分析我科于2010年1月~2011年9月共完成的9例腹腔镜辅助下胰十二指肠切除术。结果 9例患者手术顺利,手术时间(372±27)min,术中出血量平均为(587±121)ml,术后(5.0±1.0)d恢复肠道功能,术后(17.2±5.1)d出院,1例发生胰瘘。结论腹腔镜辅助下胰十二指肠切除术具有相对优势,但手术难度大,对腹腔镜下操作技术及开腹经验要求高,同时需严格掌握适应证。
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关 键 词: | 腹腔镜 辅助 胰十二指肠切除 手术 |
Clinical application of laparoscopic technique in pancreaticoduodenectomy |
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Institution: | Luo Xiagang,Wang Baolin,Zhang Jianping,et al.Department of general surgery,the Second Affiliated Hospital,Nanjing Medical University,Nanjing 210011 |
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Abstract: | Objective To explore the difficulties and indication of laparoscopic-assisted pancreaticoduodenectomy.Methods The clinical records of 9 patients in our hospital from Jan 2010 to Sep 2011 were analyzed.Results 9 cases of operation were successfully performed.The operation time(372±27)min and an intraoperative blood loss of(587±121)ml.All the patients recovered bowel movement around(5.0±1.0)d.Postoperative hospitalization duration was(17.2±5.1)d.1 case occurred pancreatic fistula.Conclusion Laparoscopic-assisted pancreatoduodenectomy had relative advantages.At the same time,skilled technology,advanced experience of operation and strict surgical indictions must be performed. |
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Keywords: | Laparoscopy Assisted Pancreatoduodenectomy Operation |
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