Gagner M, Pomp A
Department of Surgery, University of Montréal, Hôtel-Dieu de Montréal, Quebec, Canada.
Surg Endosc. 1994 May;8(5):408-10. doi: 10.1007/BF00642443.
A case of chronic pancreatitis localized in the head of the pancreas with pancreas divisum was treated by laparoscopic pylorus-preserving pancreatoduodenectomy. The laparoscopic technique of resection and reconstruction with a gastrojejunostomy, hepaticojejunostomy, and pancreaticojejunostomy is described. The postoperative period was complicated by a jejunal ulcer and delayed gastric emptying necessitating a prolonged hospitalization and intravenous hyperalimentation. No fistulas occurred, a follow-up CT scan revealed no pancreatic abnormalities, and the patient was discharged in good condition on the 30th postoperative day. Although technically feasible, the laparoscopic Whipple procedure may not improve the postoperative outcome or shorten the postoperative recovery period.
一例胰腺头部局限性慢性胰腺炎合并胰腺分裂症患者接受了腹腔镜保留幽门胰十二指肠切除术。描述了采用胃空肠吻合术、肝空肠吻合术和胰空肠吻合术进行切除和重建的腹腔镜技术。术后出现空肠溃疡和胃排空延迟并发症，需要延长住院时间并进行静脉高营养治疗。未发生瘘管，术后CT扫描未发现胰腺异常，患者术后第30天状况良好出院。尽管腹腔镜惠普尔手术在技术上可行，但可能无法改善术后结果或缩短术后恢复时间。
