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腹腔镜在胰腺真性囊肿切除术中的应用

Laparoscopic resection of true pancreatic cyst: report of 5 cases

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【作者】 牟一平; 徐晓武; 朱玲华; 朱一平; 陈定伟; 陈灵华; 郑行; 牟永华;

【Author】 MOU Yi-ping*, XU Xiao-wu, ZHU Ling-hua, ZHU-Yiping, CHENG Ding-wei, CHEN Ling-hua, ZHENG Xing, MOU Yong-hua. ~*Department of General Surgery, Sir Run Run Show Hospital, Zhejiang University, Hangzhou 310016, ChinaCorresponding author: MOU Yi-ping

【机构】 浙江大学医学院附属邵逸夫医院普外科; 浙江省台州市立医院 310016杭州; 310016杭州;

【摘要】 目的总结腹腔镜下胰腺真性囊肿切除术的经验,,提高腹腔镜临床应用的水平。方法自2001年2月至2004年6月,我们对5例胰腺真性囊肿患者施行了腹腔镜胰腺囊肿切除术,其中胰头部囊肿1例,行囊肿切除;胰体尾部囊肿4例,3例行囊肿切除,1例行胰体尾+脾脏切除。结果本组5例手术均顺利完成,术中出血50~150ml;术后6h下床活动,术后第4~6天痊愈出院;随访2~42个月,症状完全消失,未见复发。结论对胰腺真性囊肿行腹腔镜下切除术是可行的;它具有创伤轻,恢复快的优点。

【Abstract】 Objective To summarize the experience in laparoscopic resection of true pancreatic cyst. Methods Five patients with true pancreatic cyst, including 1 case of pancreatic head cyst and 4 cases of distal pancreatic cyst, underwent laparoscopic resection. Among them one case with pancreatic head cyst and 4 cases of distal pancreatic cyst underwent simple laparoscopic cyst resection and one case of distal pancreatic cyst underwent laparoscopic distal pancreatectomy with resection of the spleen. The curative effects were evaluated. A follow-up lasting 2~33 months was conducted. Results All operations were successful with intraoperative blood loss of 50 to 150 ml. The patients could get up and move about 6 hours after the operation and were recovered and discharged 4 to 6 days later. Follow-up showed that all symptoms disappeared and no recurrence of cyst occurred. Conclusion Laparoscopic resection of true pancreatic cyst is feasible with the advantages of reduced injury and earlier recovery.

【关键词】 腹腔镜; 胰腺囊肿;
【Key words】 Laparoscopy; Pancreas cyst;
  • 【文献出处】 中华医学杂志 ,National Medical Journal of China , 编辑部邮箱 ,2005年03期
  • 【分类号】R657.5
  • 【被引频次】14
  • 【下载频次】149
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