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腹腔镜保留脾脏的远端胰腺切除术联合肌肉内自体胰岛移植治疗青年成人创伤性胰腺横断伤

Laparoscopic spleen-preserving distal pancreatectomy followed by intramuscular autologous islet transplantation for traumatic pancreatic transection in a young adult.

作者信息

Dardenne Sabrina, Sterkers Adrien, Leroy Christophe, Da Mata Laurent, Zerbib Philippe, Pruvot François René, Pattou François, Truant Stéphanie

机构信息

Department of Digestive Surgery and Transplantation, CHU, Univ Nord de France. Lille, France.

出版信息

JOP. 2012 May 10;13(3):285-8.

Abstract

CONTEXT

Pancreatic injuries caused by blunt trauma are often treated conservatively, except for the highest grades of these.

CASE REPORT

We report a case of complete transection of the distal pancreas in a young adult which was successfully managed by spleen-preserving laparoscopic distal pancreatectomy followed by an islet autotransplantation in the patient's forearm striated muscle.

CONCLUSION

We describe a mini-invasive approach for pancreatectomy with restoration of resected islets to the patient.

摘要

背景

钝性创伤所致胰腺损伤通常采用保守治疗,最高级别的损伤除外。

病例报告

我们报告一例年轻成人远端胰腺完全横断的病例,该病例通过保留脾脏的腹腔镜远端胰腺切除术成功治疗,随后将胰岛自体移植到患者前臂横纹肌中。

结论

我们描述了一种微创胰腺切除方法,并将切除的胰岛恢复给患者。

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