Kang Chang Moo, Kim Ho Geun, Kim Kyung Sik, Choi Jin Sub, Lee Woo Jung, Kim Byong Ro
Department of Surgery, Yonsei University, College of Medicine, Seoul, Korea.
Hepatogastroenterology. 2007 Jun;54(76):1053-6.
Solid pseudopapillary neoplasm of the pancreas is a rare pathologic entity. Although the role of laparoscopy in surgery of the pancreas is still controversial, the feasibility and safety of laparoscopic distal pancreatectomy has been reported with good results. We present two cases of laparoscopic distal pancreatectomy in female patients of incidentally found pancreatic solid pseudopapapillary neoplasm, with review of disease and technical aspect. They underwent laparoscopic distal pancreatectomy with and without preservation of splenic vessels and spleen respectively. We used four trocars with the patients' posture in strict right lateral decubitus. The operating time was 180 and 240 minutes respectively. There were no critical postoperative complications. The postoperative hospital stay was 10 and 7 days respectively. This minimal invasive surgery can be safely applied to benign or low-grade malignant tumor of the pancreas especially in young and female patients.
胰腺实性假乳头状肿瘤是一种罕见的病理实体。尽管腹腔镜在胰腺手术中的作用仍存在争议，但腹腔镜远端胰腺切除术的可行性和安全性已有报道，且效果良好。我们报告两例偶然发现胰腺实性假乳头状肿瘤的女性患者行腹腔镜远端胰腺切除术的病例，并对疾病及技术方面进行回顾。她们分别接受了保留和不保留脾血管及脾脏的腹腔镜远端胰腺切除术。我们使用四个套管针，患者取严格的右侧卧位。手术时间分别为180分钟和240分钟。术后无严重并发症。术后住院时间分别为10天和7天。这种微创手术可安全应用于胰腺良性或低度恶性肿瘤，尤其是年轻女性患者。
