腹腔镜胰十二指肠切除术中的双术者模式
Two-surgeon Model in Laparoscopic Pancreaticoduodenectomy.
作者信息
Cai Yunqiang, Chen Sirui, Peng Bing
机构信息
Department of Minimal Invasive Surgery, Shangjin Nanfu Hospital.
Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu.
出版信息
Surg Laparosc Endosc Percutan Tech. 2019 Aug;29(4):275-279. doi: 10.1097/SLE.0000000000000649.
PURPOSE
Laparoscopic pancreaticoduodenectomy (LPD) is one of the most challenging gastrointestinal surgeries. Herein, we propose a new laparoscopic surgical conception called the 2-surgeon model and share our experience in LPD.
MATERIALS AND METHODS
We began performing LPD using the 2-surgeon model in October 2015. To December 2017, we have performed 203 cases of LPDs using 2-surgeon model. Data associated with demographic characteristics, operative outcomes, and postoperative results were prospectively collected and analyzed retrospectively.
RESULTS
Only 1 patient in our series required to conversion to open surgery. The mean operative time was 318 minute. The estimated blood loss was 108 mL. The overall complication was 26.1%. In total, 41 patients (20.2%) suffered from pancreatic fistula, including 33 cases of grade A, 7 cases of grade B, and 1 case of grade C. The 90-day mortality was 0.5%.
CONCLUSIONS
The 2-surgeon model is safe and feasible for LPD.
目的
腹腔镜胰十二指肠切除术（LPD）是最具挑战性的胃肠手术之一。在此，我们提出一种名为双术者模式的新型腹腔镜手术理念，并分享我们在LPD方面的经验。
材料与方法
我们于2015年10月开始采用双术者模式进行LPD。至2017年12月，我们已使用双术者模式完成203例LPD。前瞻性收集与人口统计学特征、手术结果及术后结果相关的数据，并进行回顾性分析。
结果
我们系列中仅1例患者需转为开放手术。平均手术时间为318分钟。估计失血量为108毫升。总体并发症发生率为26.1%。共有41例患者（20.2%）发生胰瘘，其中A级33例，B级7例，C级1例。90天死亡率为0.5%。
结论
双术者模式用于LPD是安全可行的。
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