【摘要】 目的探讨胰体尾部肿瘤原位切除的可行性及优越性。方法自2003年2月~2006年11月对6例胰体尾部肿瘤进行了胰体尾部肿瘤的原位手术切除术。其中胰体尾部原发癌4例,转移癌2例。手术方法是在分离胰体尾部肿瘤和脾脏前,先在肿瘤的右侧离断胰腺、结扎切断脾动静脉及其与胃肠的交通支,再由右向左切除胰体尾部肿瘤、脾脏、Gerota′s筋膜和受浸润的脏器。本组单纯的胰体尾部和脾脏切除2例,联合胃、横结肠系膜、左肾上腺等脏器切除4例。结果本组6例均获得成功。手术时间120~240 min,平均180 min。无手术死亡,无严重的手术并发症,无术中大出血(平均出血量320 ml)。结论胰体尾部肿瘤原位切除术,在技术上是可行的。与传统的胰体尾肿瘤切除术相比,操作方便、安全,根治彻底,出血少。尤其适用于对累及邻近脏器的胰体尾肿瘤进行根治性联合脏器切除。更多还原

【Abstract】 Objective To discuss the feasibility and advantages of dissecting tumour located at pancreatic body and tail in situ.Methods Before dissecting tumour and spleen,we dissected communicating vessels between pancreas,spleen vessels and gastrointestinal first,and then dissected tumour and spleen from right to left.Since February 2003,People′s Hospital of Taixing had operated 6 cases of pancreatic tumour in situ dissection,in which 4 cases were primary carcinoma and 2 cases were metastasis.Twe patient was operated by dissecting pancreatic body,tail and spleen.The others were operated by dissecting together with stomach,transverse colon mesentery and left adrenal gland.Results All 6 operations were successful,without death,serious complications or large bleeding(average 260 ml).Operation time was 120 to 240 minutes,180 min averagely.Conclusions Dissecting tumour located at pancreatic body and tail in situ is feasible.Compared with traditional method,it has the advantages of easy,safe,radical and less bleeding,especially suitable for radical multiple organs excision for patients whose tumour had invade adjacent organs.更多还原