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目的观察腹腔镜保留脾动静脉的保留脾脏胰体尾切除术治疗胰体尾部良性及低度恶性肿瘤的效果。方法对医院肝胆胰外科行腹腔镜保留脾动静脉的保留脾脏胰体尾切除术的胰体尾部肿瘤13例患者的临床资料进行回顾性分析。结果本组无中转开腹手术。中位手术时间197.2min,术中平均失血量230.7ml;病理检查结果显示胰腺导管腺癌6例,浆液性囊腺瘤3例,黏液性囊腺瘤4例。术后2例发生胰漏,经保守治疗好转。余患者术后均恢复顺利,无并发症发生。术后平均住院时间为7.2d。结论腹腔镜保留脾动静脉的保留脾脏胰体尾切除术治疗胰体尾部良性及低度恶性肿瘤安全、有效、可行。
Objective To observe the effect of laparoscopic splenic artery preserving splenic pancreatectomy in the treatment of benign and low-grade pancreatic body tumors. Methods Retrospective analysis was performed on the clinical data of 13 patients with pancreatic body tail tumors retaining the splenic pancreatectomy in laparoscopic operation of hepatobiliary and pancreatic surgery in the hospital. Results of this group without transit laparotomy. The median operative time was 197.2 min and intraoperative blood loss was 230.7 ml. Pathological examination showed 6 cases of pancreatic ductal adenocarcinoma, 3 cases of serous cystadenoma and 4 cases of mucinous cystadenoma. 2 cases of pancreatic leakage occurred after conservative treatment improved. The rest of the patients recovered smoothly without complication. The average postoperative hospital stay was 7.2 days. Conclusions Laparoscopic retained splenic arteriovenous retention spleen pancreatic body tail resection in the treatment of benign and low-grade pancreatic body tumors of the tail is safe, effective and feasible.