[腹腔镜后入路囊肿胃吻合术用于胰腺假性囊肿引流]
[Laparoscopic cystogastrostomy with posterior approach for pancreatic pseudocyst drainage].
作者信息
Yu Zeyuan, Wu Zankai, Han Jixiang, Zhou Huinian, Jiao Zuoyi
机构信息
First Division of General Surgery, Lanzhou University Second Hospital, Lanzhou 730000, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Oct;39(10):1035-8. doi: 10.11817/j.issn.1672-7347.2014.10.008.
OBJECTIVE
To determine the clinical value of laparoscopic cystogastrostomy in the treatment of pancreatic pseudocyst.
METHODS
Twenty-one patients with pancreatic pseudocyst received total laparoscopic cystogastrostomy. The data on intra-operative bleeding, operative time, post-operative time to get out of bed, time of first flatus/bowel motion, complication and duration of hospital stay were observed and analyzed retrospective1y.
RESULTS
Twenty-one patients were successfully carried out the laparoscopic surgery. The average operation time was 90(62-120) min. The blood loss was less than 100 mL in all patients. The average time of hospital stay was 8 d. After 12-18 month follow-up, all patients recovered smoothly without any complication.
CONCLUSION
Total laparoscopic cystogastrostomy with the posterior approach is a feasible, safe and minimal invasive procedure for pancreatic pseudocyst, which can be recommended to the clinical application.
目的
探讨腹腔镜下囊肿胃吻合术治疗胰腺假性囊肿的临床价值。
方法
21例胰腺假性囊肿患者接受了全腹腔镜囊肿胃吻合术。回顾性观察并分析术中出血、手术时间、术后下床时间、首次排气/排便时间、并发症及住院时间等数据。
结果
21例患者均成功完成腹腔镜手术。平均手术时间为90（62 - 120）分钟。所有患者失血量均少于100毫升。平均住院时间为8天。随访12 - 18个月后，所有患者均顺利康复，无任何并发症。
结论
后入路全腹腔镜囊肿胃吻合术治疗胰腺假性囊肿是一种可行、安全且微创的手术方法，可推荐临床应用。
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