Durlik Marek, Matejak-Górska Marta, Jaworowski Radosław, Kaszycka Zuzanna, Baumgart Katarzyna
Pol Przegl Chir. 2013 Oct;85(10):589-97. doi: 10.2478/pjs-2013-0088.
The improvement of laparoscopic techniques that we witnessed over the last decade, also applied to pancreatic surgery. Both worldwide and in Poland, increasingly more patients with lesions located within the body and tail of the pancreas are treated using laparoscopic distal pancreatectomy. The aim of the study was to compare the outcomes of laparoscopic and open distal pancreatectomy.
Between January 2009 and March 2013, 107 patients underwent distal pancreatectomy at a single institution: 39 using laparoscopic technique and 68 using open technique. This was a retrospective study.
There were no significance differences with regard to duration of the surgical procedure, duration of hospitalization and complication rate between both groups. Statistically significant difference was found for the incidence of spleen preservation in patients undergoing laparoscopy, due to better visualization of the structures. In the group of patients with pancreatic cancer there was no significance difference in the incidence of malignancy found in the surgical margin. Our results are similar to that presented in the literature.
Laparoscopic distal pancreatectomy is a safe method, with a higher rate of spleen preservation among the patients with the lesion located in the body and tail of the pancreas.
我们在过去十年见证了腹腔镜技术的进步，这也应用于胰腺手术。在全球和波兰，越来越多胰腺体尾部有病变的患者接受腹腔镜远端胰腺切除术治疗。本研究的目的是比较腹腔镜和开放远端胰腺切除术的结果。
2009年1月至2013年3月期间，107例患者在单一机构接受了远端胰腺切除术：39例采用腹腔镜技术，68例采用开放技术。这是一项回顾性研究。
两组在手术时间、住院时间和并发症发生率方面无显著差异。由于对结构的可视化更好，接受腹腔镜检查的患者在脾脏保留率方面存在统计学显著差异。在胰腺癌患者组中，手术切缘发现的恶性肿瘤发生率无显著差异。我们的结果与文献报道相似。
腹腔镜远端胰腺切除术是一种安全的方法，对于胰腺体尾部有病变的患者，脾脏保留率较高。
