Xing Bao-cai, Sun Yi, Bao Quan, Qian Hong-gang, Hao Chun-yi, Huang Xin-fu, Wang Yi, Gu Jin, Ji Jia-fu
Department of Surgery, Beijing Cancer Hospital, Beijing 100036, China.
Zhonghua Yi Xue Za Zhi. 2006 Mar 14;86(10):690-2.
To investigate the feasibility and safety of spleen-preserving distal pancreatectomy with conservation of the splenic arteries and veins in treatment of benign neoplasms of distal pancreas.
Four patients with solid-pseudopapillary neoplasm, 1 males and 3 females, aged 30 (17 - 37), underwent laparotomy. The distal pancreas with tumor was cut. The perforating branches between the splenic artery and vein and the distal pancreas were isolated, ligated, and cut. The splenic artery and vein and the short and left gastric vessels were all preserved. The spleen remained intact.
The mean operation time was 208 minutes +/- 52 minutes, and the mean blood loss was 475 ml +/- 96 ml. Blood transfusion was not necessary. The mean post-operative hospital stay was 18 days +/- 13 days. No post-operative complications were found except for pancreatic leakage occurring in one patient that was cured by conservative treatment. No metastasis and recurrence was found.
Safe and feasible, spleen-preserving distal pancreatectomy with conservation of the splenic arteries and veins is one of the best choices for treatment of benign and borderline tumors of pancreas.
探讨保留脾动静脉的保脾远端胰腺切除术治疗胰腺远端良性肿瘤的可行性和安全性。
对4例实性假乳头状瘤患者（男1例，女3例，年龄30岁（17 - 37岁））行剖腹手术。切除带肿瘤的胰腺远端。分离、结扎并切断脾动静脉与胰腺远端之间的穿支。保留脾动静脉以及胃短血管和胃左血管。脾脏保持完整。
平均手术时间为208分钟±52分钟，平均失血量为475毫升±96毫升。无需输血。术后平均住院时间为18天±13天。除1例患者发生胰瘘经保守治疗治愈外，未发现术后并发症。未发现转移和复发。
保留脾动静脉的保脾远端胰腺切除术安全可行，是治疗胰腺良性和交界性肿瘤的最佳选择之一。
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