腹腔镜长袖胰胃吻合术（LPG）：一种胰体尾切除术后新型的胰腺吻合术。
Laparoscopic long sleeve pancreaticogastrostomy (LPG): a novel pancreatic anastomosis following central pancreatectomy.
作者信息
Jiao Long R, Gall Tamara M H, Sodergren Mikael H, Fan Ruifang
机构信息
HPB Surgical Unit, Department of Surgery & Cancer, Imperial College, Hammersmith Hospital Campus, London W12 0HS, UK.
出版信息
Hepatobiliary Surg Nutr. 2016 Jun;5(3):245-8. doi: 10.21037/hbsn.2016.02.02.
BACKGROUND
Central pancreatectomy (CP) is preferred to distal pancreatectomy (DP) for the excision of benign tumours at the neck or body of the pancreas, in order to preserve pancreatic function and the spleen. However, the pancreaticoenterostomy is technically difficult to perform laparoscopically and the postoperative pancreatic fistula (POPF) rate is high.
METHODS
A novel laparoscopic reconstruction of the pancreatic stump during CP is described, the laparoscopic long sleeve pancreaticogastrostomy (LPG).
RESULTS
Two males and two females with a median age of 49 years had a laparoscopic CP with LPG. After a median follow-up of 27.5 months, there was no mortality. One patient had a grade A POPF, managed conservatively.
CONCLUSIONS
The LPG is a safe and technically less demanding method to reconstruct pancreatic drainage laparoscopically.
背景
为了保留胰腺功能和脾脏，对于胰腺颈部或体部的良性肿瘤切除，中央胰腺切除术（CP）优于远端胰腺切除术（DP）。然而，胰肠吻合术在腹腔镜下技术操作困难，且术后胰瘘（POPF）发生率高。
方法
描述了一种在CP期间对胰腺残端进行新型腹腔镜重建的方法，即腹腔镜长襻胰胃吻合术（LPG）。
结果
4例患者（2男2女）接受了LPG腹腔镜CP手术，中位年龄49岁。中位随访27.5个月后，无死亡病例。1例患者发生A级POPF，经保守治疗。
结论
LPG是一种安全且技术要求较低的腹腔镜重建胰腺引流的方法。
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