保留幽门的胰十二指肠切除术后经超声解剖行腹腔镜囊肿胃造口术
Laparoscopic cystogastrotomy by ultrasonic dissection after pylorus-preserving pancreaticoduodectomy.
作者信息
Ibikunle Christopher A, Titus Jessica, Pan Jenny, Cruz Pico Christian X, Guerron Alfredo D
机构信息
Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
出版信息
JSLS. 2012 Apr-Jun;16(2):292-5. doi: 10.4293/108680812x13427982377229.
BACKGROUND AND OBJECTIVES
Symptomatic pancreatic pseudocysts can be drained using open, endoscopic, and laparoscopic techniques. Little is written on the role of laparoscopic drainage techniques after major abdominal operations. We describe a case of laparoscopic cystgastrotomy after pancreaticoduodenecomy.
CASE REPORT
A 55-year-old female with a prior history of open pylorus-preserving pancreaticoduodenectomy presented with multiple symptomatic pancreatic pseudocysts in the setting of alcohol-induced chronic pancreatitis.
METHODS
After preoperative planning with contrast-enhanced computed tomography, the patient successfully underwent laparoscopic cystgastrotomy with ultrasonic dissection.
CONCLUSION
This case report illustrates that laparoscopic cystenteric drainage of pancreatic pseudocysts can be performed safely after major open abdominal operations. Further investigation is needed.
背景与目的
有症状的胰腺假性囊肿可通过开放、内镜及腹腔镜技术进行引流。关于腹部大手术后腹腔镜引流技术的作用，相关报道较少。我们描述一例胰十二指肠切除术后行腹腔镜囊肿胃吻合术的病例。
病例报告
一名55岁女性，既往有保留幽门的开放性胰十二指肠切除术史，因酒精性慢性胰腺炎出现多个有症状的胰腺假性囊肿。
方法
经增强计算机断层扫描进行术前规划后，患者成功接受了超声刀腹腔镜囊肿胃吻合术。
结论
本病例报告表明，腹部大手术后可安全地进行腹腔镜胰腺假性囊肿肠内引流术。尚需进一步研究。
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