既往坏死组织清除术后行腹腔镜远端脾胰切除术的可行性。病例报告。
Feasibility of laparoscopic distal spleno-pancreatectomy following previous necrosectomy. A case report.
作者信息
Hemandas Anil K, Jain Gaurav, Fong Farina, Stedman Brian, Jaynes Eleanor, Abu Hilal Mohammad
机构信息
Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, United Kingdom.
出版信息
JOP. 2008 Sep 2;9(5):644-8.
CONTEXT
In recent years, laparoscopic approach to distal pancreatectomy has been increasingly favoured following several reports showing reductions in morbidity and hospital stay compared with open surgery. Previous major abdominal surgery is a relative contraindication for most laparoscopic procedures including distal pancreatectomy.
CASE REPORT
We present a case of a young woman in whom we attempted and accomplished safely, a laparoscopic distal pancreatectomy despite having had major pancreatic necrosectomy and discuss the feasibility of this approach.
CONCLUSION
It is possible to perform complex laparoscopic pancreatic resections safely in centres with special interest and expertise.
背景
近年来，随着多项报告显示与开放手术相比，腹腔镜下胰体尾切除术的发病率和住院时间有所降低，该手术越来越受到青睐。既往的腹部大手术是包括胰体尾切除术在内的大多数腹腔镜手术的相对禁忌证。
病例报告
我们报告一例年轻女性患者，尽管曾接受过胰腺坏死组织清除术，但我们仍尝试并成功安全地实施了腹腔镜胰体尾切除术，并讨论了该手术方式的可行性。
结论
在有特殊兴趣和专业知识的中心，可以安全地进行复杂的腹腔镜胰腺切除术。
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