Kvashilava Anzor, Kobalava Badri, Giorgobiani Giorgi
General Surgery, Aversi Clinic, Tbilisi, GEO.
Surgery Department #3, Faculty of Medicine, Tbilisi State Medical University, Tbilsi, GEO.
Cureus. 2022 Apr 27;14(4):e24542. doi: 10.7759/cureus.24542. eCollection 2022 Apr.
Pancreatic parenchyma-preserving procedures performed for benign and low-grade malignant tumors of the neck or body of this organ significantly reduce the incidence of postoperative exocrine and endocrine insufficiency compared to distal pancreatectomy. Tumor enucleation spares pancreatic parenchyma, but it can have positive surgical margins, and postoperative leakage after it is significant. We present our initial successful experience of laparoscopic central pancreatectomy. A patient was operated on for cystadenoma of the pancreatic neck. The organ was transected proximally with a linear stapler but distally with ultrasonic shares, and a caudal stump was used for the creation of the pancreaticogastrostomy. The postoperative period was uneventful. The four-month follow-up did not reveal any exocrine or endocrine insufficiency.
与远端胰腺切除术相比，针对胰腺颈部或体部的良性及低级别恶性肿瘤实施的保留胰腺实质手术，可显著降低术后外分泌和内分泌功能不全的发生率。肿瘤剜除术可保留胰腺实质，但可能出现手术切缘阳性，且术后胰瘘发生率较高。我们展示了我们腹腔镜中央胰腺切除术的初步成功经验。一名患者因胰腺颈部囊腺瘤接受手术。胰腺近端用直线切割缝合器横断，远端用超声刀，胰尾残端用于行胰胃吻合术。术后过程顺利。四个月的随访未发现任何外分泌或内分泌功能不全。
