腹腔镜远端胰腺切除术作为胰腺的全活检：微创手术工具

Laparoscopic distal pancreatectomy as the total biopsy of the pancreas: tool of minimally invasive surgery.

作者信息

Maruyama Michihiro, Kenmochi Takashi, Asano Takehide, Saigo Kenichi, Miyauchi Hideaki, Miura Fumihiko, Ochiai Takenori

机构信息

Department of Surgery, Sakura National Hospital, 2-36-2 Ebaradai, Sakura, Chiba 285-8765, Japan.

出版信息

J Hepatobiliary Pancreat Surg. 2004;11(4):290-2. doi: 10.1007/s00534-003-0887-y.

DOI:10.1007/s00534-003-0887-y

PMID:15368117

Abstract

Because of recent progress in imaging modalities, the opportunities to detect pancreatic cystic neoplasms are increasing. However, serous cystadenoma is still uncommon. We report a case of serous cystadenoma treated by laparoscopic distal pancreatectomy. A 52-year-old woman presented with mild upper abdominal pain. Dynamic computed tomography (CT) revealed a solitary cystic lesion 3 cm in diameter in the pancreatic tail. Endoscopic ultrasound showed a honeycomb pattern, indicative of serous cystadenoma. To obtain the final diagnosis of the tumor, we performed laparoscopic distal pancreatectomy. A histopathological study showed microcystadenoma with no evidence of malignancy.

摘要

由于近期成像技术的进步，检测胰腺囊性肿瘤的机会正在增加。然而，浆液性囊腺瘤仍然不常见。我们报告一例通过腹腔镜远端胰腺切除术治疗的浆液性囊腺瘤病例。一名52岁女性出现轻度上腹部疼痛。动态计算机断层扫描（CT）显示胰腺尾部有一个直径3厘米的孤立性囊性病变。内镜超声显示蜂窝状图案，提示浆液性囊腺瘤。为了获得肿瘤的最终诊断，我们进行了腹腔镜远端胰腺切除术。组织病理学研究显示为微囊腺瘤，无恶性证据。