Mou Yi-ping, Chen Qi-long, Xu Xiao-wu, Wang Guan-yu, Sun Xiao-dong, Zhu Ling-hua, Zhu Yi-ping, Yang Peng
Department of General Surgery, Sir Run Run Shaw Hospital, Medical Colledge, Zhejiang University, Hangzhou 310016, China.
Zhonghua Wai Ke Za Zhi. 2006 Feb 1;44(3):200-1.
To summarize the experience of laparoscopic distal pancreatectomy with preservation of the spleen.
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.
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.
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.
总结保留脾脏的腹腔镜胰体尾切除术的经验。
2003年11月至2004年12月，2例胰腺体尾部囊性病变患者接受了保留脾脏的腹腔镜胰体尾切除术。
2例手术均成功，手术时间分别为220分钟和190分钟，出血量分别为450毫升和350毫升。术后无并发症，病理诊断为胰腺浆液性囊腺瘤。2例患者术后症状均消失，在18个月和5个月的随访中均无复发。
保留脾脏的腹腔镜胰体尾切除术治疗胰腺体尾部良性肿瘤安全可行，具有创伤小、恢复快、并发症少等优点。
