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目的探讨胰腺中段切除术的可行性与安全性。方法回顾性分析26例节段性胰腺切除术患者的临床资料。结果实性假乳头状瘤9例,胰腺内分泌肿瘤5例,胰腺微囊腺瘤4例,浆液性囊腺瘤3例,海绵状血管瘤1例,胰腺囊肿1例,胰腺炎1例,交界恶性囊腺瘤1例,胰腺癌1例。术后发生胰瘘8例(30.7%),无围术期无死亡,患者均长期生存,无术后血糖升高和胰腺外分泌功能不足的表现。结论胰腺中段切除术适用于胰腺颈体部良性和低度恶性肿瘤,可以尽量保留患者的胰腺组织,降低手术后内外分泌功能不足的风险,减少糖尿病的发生。
Objective To investigate the feasibility and safety of mid-pancreatectomy. Methods The clinical data of 26 patients with segmental pancreatectomy were retrospectively analyzed. Results Fake papilloma in 9 cases, pancreatic endocrine tumors in 5 cases, 4 cases of pancreatic microvessel adenoma, 3 cases of serous cystadenoma, cavernous hemangioma in 1 case, pancreatic cyst in 1 case, pancreatitis in 1 case, border 1 case of malignant cystadenoma and 1 case of pancreatic cancer. Pancreatic fistula occurred in 8 cases (30.7%), no perioperative death, patients were long-term survival, no postoperative blood glucose and pancreatic exocrine insufficiency performance. Conclusion The middle resection of the pancreas is suitable for the benign and low-grade cancers of the neck of the pancreas. It can keep the pancreas tissue of the patient as much as possible and reduce the risk of the exocrine and exocrine insufficiency after surgery, thus reducing the incidence of diabetes.