腹腔镜下中央胰腺切除术联合改良 Blumgart 胰肠吻合术治疗胰腺神经内分泌肿瘤。
Laparoscopic Central Pancreatectomy with Modified Blumgart Pancreatojejunostomy for Pancreatic Neuroendocrine Tumor.
机构信息
Department of Digestive Surgical Oncology-Liver Transplantation Unit, CHRU Besançon, Besançon Cedex, France.
出版信息
Ann Surg Oncol. 2024 Dec;31(13):8723-8724. doi: 10.1245/s10434-024-16248-y. Epub 2024 Sep 18.
INTRODUCTION
This report with a video describes a laparoscopic central pancreatectomy with modified Blumgart pancreatojejunostomy for pancreatic neuroendocrine tumor.
PATIENTS AND METHODS
A 71-year-old woman presented with a single 17 mm lesion in the pancreatic neck, responsible for dilatation of the main pancreatic duct. Cancer staging showed no additional location. Somatostatin receptor imaging was positive. After a multidisciplinary discussion in the French national reference network for the management of neuroendocrine tumor (RENATEN) surgery with central pancreatectomy was decided.
RESULTS
The operation time was 320 min and the estimated blood loss was less than 100 ml. Final pathology confirmed a pancreatic NET of 13 mm staged as T1 N0 M0 R0 G1 with a Ki-67 of 2%. After lymph node dissection, five nodes were analyzed and were found to be noninvaded. The postoperative course was uneventful.
CONCLUSIONS
Laparoscopic central pancreatectomy is an excellent alternative for sparing pancreatic parenchyma.
简介
本报告附有一段视频，介绍了一例腹腔镜下中央胰腺切除术，采用改良的 Blumgart 胰肠吻合术治疗胰腺神经内分泌肿瘤。
患者和方法
一名 71 岁女性因胰腺颈部 17 毫米的单发病变导致主胰管扩张而就诊。癌症分期未显示其他部位转移。生长抑素受体显像阳性。在法国国家神经内分泌肿瘤管理参考网络（RENATEN）的多学科讨论后，决定进行中央胰腺切除术。
结果
手术时间为 320 分钟，估计出血量小于 100 毫升。最终病理证实为 13 毫米的胰腺神经内分泌肿瘤，分期为 T1N0M0R0G1，Ki-67 为 2%。淋巴结清扫后，分析了 5 个淋巴结，均未发现侵袭。术后恢复顺利。
结论
腹腔镜下中央胰腺切除术是保留胰腺实质的理想选择。
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