Cai Xiujun, Wang Yifan, Yu Hong, Liang Xiao, Xu Bin, Peng Shuyou
Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Surg Laparosc Endosc Percutan Tech. 2008 Aug;18(4):404-6. doi: 10.1097/SLE.0b013e31816f7763.
A 55-year-old male patient, complaining of skin and sclera yellowing, came in for clinical investigation. After complete evaluation, the primitive diagnosis of periampullary carcinoma was made and radical surgical resection was planned to be performed. Later, a complete laparoscopic pancreaticoduodenectomy was performed successfully. The mean operating time was 510 minutes. The intraoperative blood loss was 800 mL without intraoperative blood transfusion. No complication was noticed. The length of postoperative hospital stay was 14 days. Pathologic examination showed well-differentiated adenocarcinoma of common bile duct. The patient has been followed-up for 23 months. He is living very well and is capable of carrying on daily routine without any evidence of tumor recurrence. Despite long operating time, complete laparoscopic pancreaticoduodenectomy is feasible. To develop this procedure as more clinical application, some special instruments or new technique for laparoscopic intracorporal biliojejunostomy or pancreatojejunostomy should be evolved, and a large number of clinical trials are also needed to prove its feasibility.
一名55岁男性患者，因皮肤及巩膜黄染前来进行临床检查。经过全面评估，初步诊断为壶腹周围癌，并计划进行根治性手术切除。随后，成功实施了完全腹腔镜下胰十二指肠切除术。平均手术时间为510分钟。术中失血800毫升，未进行术中输血。未发现并发症。术后住院时间为14天。病理检查显示为胆总管高分化腺癌。该患者已随访23个月。他生活状况良好，能够进行日常活动，无肿瘤复发迹象。尽管手术时间较长，但完全腹腔镜下胰十二指肠切除术是可行的。为了使该手术得到更广泛的临床应用，应研发一些特殊器械或新技术用于腹腔镜体内胆肠吻合术或胰肠吻合术，并且还需要大量临床试验来证明其可行性。
