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微创远端胰腺切除术:30例回顾性研究

Minimally invasive distal pancreatectomy A retrospective review of 30 cases.

作者信息

Sumer Aziz, Barbaros Umut, Conde Salvador Morales, Celik Sebahattin, Aksakal Nihat, Alamo Jose Maria, Alarcon Isaias, Gures Nazim, Karayagiz Hamit, Dinccag Ahmet, Seven Ridvan, Mercan Selcuk, Budak Demir

出版信息

Ann Ital Chir. 2017;88.

Abstract

OBJECTIVES

Pancreatic surgery has been greatly influenced by the advent of laparoscopic surgery and increasing experience in its performance and by advances in techniques and surgical devices. This study aimed to represent two centers' initial experiences in laparoscopic distal pancreatic surgery.

METHODS

This study was a bi-centric study including 30 patients undergoing distal pancreatectomy for pancreatic disorders. All the patients were operated on from November 2006 to November 2013 in Turkey and Spain.

RESULTS

Laparoscopic spleen-preserving distal pancreatectomy was performed in 9 patients, laparoscopic distal pancreatectomy was performed in 14 patients, laparoscopic enucleation was performed in 4 patients, and single-incision laparoscopic distal pancreatosplenectomy with splenectomy was performed in 3 patients.

CONCLUSIONS

Laparoscopic distal pancreatectomies for pancreatic disorders are feasible and safe procedures if performed by experienced laparoscopic surgeons.

KEY WORDS

Laparoscopy, Pancreas, Multi-port, Tumor, SILS.

摘要

目的

腹腔镜手术的出现、其操作经验的增加以及技术和手术器械的进步对胰腺手术产生了极大影响。本研究旨在介绍两个中心在腹腔镜远端胰腺手术方面的初步经验。

方法

本研究为双中心研究,纳入30例因胰腺疾病接受远端胰腺切除术的患者。所有患者于2006年11月至2013年11月在土耳其和西班牙接受手术。

结果

9例患者接受了腹腔镜保留脾脏远端胰腺切除术,14例患者接受了腹腔镜远端胰腺切除术,4例患者接受了腹腔镜摘除术,3例患者接受了单切口腹腔镜远端胰腺脾切除术并切除脾脏。

结论

如果由经验丰富的腹腔镜外科医生进行,腹腔镜远端胰腺切除术治疗胰腺疾病是可行且安全的手术。

关键词

腹腔镜检查;胰腺;多端口;肿瘤;单切口腹腔镜手术

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