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腹腔镜保留幽门的胰头切除术和经胰胃吻合术的杂交式开放重建。

Laparoscopic pylorus-preserving pancreatic head resection and hybrid open reconstruction via pancreatogastrostomy.

机构信息

Department of General and Visceral Surgery, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany.

出版信息

J Gastrointest Surg. 2011 Feb;15(2):373-7. doi: 10.1007/s11605-010-1363-z. Epub 2010 Dec 7.

Abstract

INTRODUCTION

Laparoscopic pancreatic surgery is ambitious and should only be performed in institutions with expert knowledge in pancreatic surgery.

METHODS

Whereas pancreatic tail resection is routinely and safely performed in several institutions, the laparoscopic resection of the pancreatic head is only performed by a handful of surgeons.

RESULTS

In this article, we present our hybrid approach with complete laparoscopic pylorus-preserving pancreatic head resection and successive reconstruction via a small retrieval incision, which might combine the advantages of the laparoscopic resection with the safety of an open and routine pancreatic anastomosis.

摘要

简介

腹腔镜胰腺手术具有挑战性,仅应在具备胰腺外科专业知识的机构中开展。

方法

虽然胰腺尾部切除术在多个机构中常规且安全地进行,但胰腺头部的腹腔镜切除术仅由少数外科医生进行。

结果

本文介绍了我们的混合方法,即完全腹腔镜保留幽门的胰头切除术和通过小的取出切口进行后续重建,这可能结合了腹腔镜切除术的优势和开放常规胰腺吻合术的安全性。

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