内镜下胰管支架置入联合 3D 腹腔镜胰腺肿瘤切除术：三例报告。
Endoscopic pancreatic duct stenting combined with 3D laparoscopic pancreatic tumor resection: Three case reports.
机构信息
Department of Hepatobiliary and Pancreatic Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, PR China.
Department of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, PR China.
出版信息
Medicine (Baltimore). 2023 May 12;102(19):e33733. doi: 10.1097/MD.0000000000033733.
RATIONALE
This study explored the safety and feasibility of 3D laparoscopy and intraoperative ultrasound techniques, which made minimally invasive pancreatic surgery more precise and detailed.
PATIENT CONCERN
Case 1 was a 51-year-old man with a primary complaint of pancreatic tumor. Case 2 was a 60-year-old woman with complaints of tinnitus for 1 week. Case 3 was a 21-year-old woman with complaints of epigastric pain and abdominal distension for 1 day.
DIAGNOSIS
Case 1 and Case 2 were diagnosed with pancreatic neuroendocrine tumors, and Case 3 was diagnosed with an infected solid pseudopapillary tumor of the pancreas.
INTERVENTIONS
All 3 patients underwent laparoscopic pancreatic surgery in our hospital.
OUTCOMES
All cases received the same perioperative management and no localized stenosis or dilatation of the pancreatic duct was found during follow-up.
LESSONS
With the development of minimally invasive surgery and the application of 3D laparoscopy and intraoperative ultrasound technology, pancreatic tumors that are tightly adhered to the main pancreatic duct can successfully be removed using 3D laparoscopic operation.
背景
本研究探讨了 3D 腹腔镜和术中超声技术的安全性和可行性，使微创胰腺手术更加精确和详细。
患者关注
病例 1 为 51 岁男性，主要症状为胰腺肿瘤。病例 2 为 60 岁女性，主要症状为耳鸣 1 周。病例 3 为 21 岁女性，主要症状为上腹痛和腹胀 1 天。
诊断
病例 1 和病例 2 被诊断为胰腺神经内分泌肿瘤，病例 3 被诊断为胰腺感染性实性假乳头状瘤。
干预措施
所有 3 例患者均在我院行腹腔镜胰腺手术。
结果
所有患者均接受了相同的围手术期管理，随访期间未发现胰管局部狭窄或扩张。
经验教训
随着微创外科技术的发展和 3D 腹腔镜及术中超声技术的应用，对于与主胰管紧密粘连的胰腺肿瘤，可以成功地采用 3D 腹腔镜手术进行切除。
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