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完全腹腔镜胰十二指肠切除术6例临床疗效分析
沙洪存1, 洪晓明1, 戴珍珍2, 徐鲲杰1, 滕晓平1, 叶晓明1, 任旋磊1, 郝龙1
1.宁波市鄞州第二医院普外科;2.宁波市鄞州人民医院病理科
摘要:
目的 评估完全腹腔镜胰十二指肠切除术（laparoscopic pancreaticoduodenectomy，LPD）的可行性、安全性。方 法 采用LPD 治疗胰头或十二指肠肿瘤患者6 例，回顾性分析手术时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、术后住院天数、手术并发症发生率及术后短期疗效。结果 6 例手术均在完全腹腔镜下完成，无中转开腹病例。手术时间（380.5±38.1）min；出血量（241.7±189.3）ml；清扫淋巴结（15.3±2.8）枚；平均肛门排气时间（3.5±1.0）d；术后住院（14.0±5.7）d。手术并发症发生率为33.3％（2/6），其中轻度胰漏1例，肺炎1例；本组患者术后随访3~12个月，无肿瘤复发及转移。结论 LPD 安全、可行，能达到胰头或十二指肠肿瘤根治性切除的目的。
关键词:  十二指肠肿瘤  胰腺癌  腹腔镜  胰十二指肠切除术
DOI：
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基金项目:
Clinical analysis of 6 patients undergoing total laparoscopic pancreaticoduodenectomy
SHA Hongcun,HONG Xiaoming,DAI Zhenzhen,XU Kunjie,TENG Xiaoping,YE Xiaoming,REN Xuanlei,HAO Long
Yinzhou Second People's Hospital
Abstract:
Objective To evaluate safety, feasibility of total laparoscopic pancreaticoduodenectomy (LPD). Methods Medical records of 6 consecutive patients who underwent LPD between November 2013 and December 2014 were reviewed retrospectively.The short-term outcomes of these patients were examined. Results There were no conversions to open procedures.The operative time was (380.5±38.1) min. The blood loss was (241.7±189.3)ml. The resected lymph node was (15.3±2.8), the time to first flatus was (3.5±1.0) d. The length of hospital stay was (14.0±5.7) d. Postoperative mobidity included mild pancreatic leak (1 case) and pneumonia (1 case). There was no perioperative death. Conclusion LPD can be performed safely with adequate lymphadenectomy.
Key words:  Duodenal Neoplasms  Pancreatic neoplasms  Laparoscopy  Pancreaticoduodenectomy