單孔腹腔鏡技術在胰腺疾病中的診治體會_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 孫志為 ,  馮幸子 , 李星逾

云南省第一人民醫院肝膽外科（云南昆明 650032）;

Corresponding?author：

馮幸子, Email: 450050275@qq.com

Keywords：

經臍; 單孔腹腔鏡; 胰腺疾病; 診治

DOI：

10.7507/1007-9424.20160107

Video：

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目的通過手術病例總結單孔腹腔鏡手術在胰體尾切除中的經驗體會。方法回顧性分析筆者所在醫院科室5例經臍單孔腹腔鏡胰體尾切除手術患者的臨床資料。結果 4例行單孔腹腔鏡保留脾臟胰體尾切除術，1例行單孔腹腔鏡聯合脾臟胰體尾切除術。經臍單孔腹腔鏡手術具有手術切口少，術口小，術后疼痛不明顯，術后瘢痕隱蔽，腹腔騷擾小，術后并發癥少，術后住院時間短，費用低等優點。結論單孔腹腔鏡胰腺手術是安全可行的，值得在臨床推廣。

Citation： 孫志為, 馮幸子, 李星逾. 單孔腹腔鏡技術在胰腺疾病中的診治體會. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 403-405. doi: 10.7507/1007-9424.20160107 Copy

1.	Jayaraman S, Gonen M, Brennan MF, et al. Laparoseopie distal pancreatectomy: evolution of a technique at a single institution. J Am Coll Surg, 2010, 211(4): 503-509.
2.	Suzuki O, Tanaka E, Hirano S, et al. Efficacy of the electrothermal bipolar vessel sealer in laparoseopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. J Gastrointest Surg, 2009, 13(1): 155-158.
3.	Cuschieri A, Jakimowicz JJ, Van Spreeuwel J, et al. Laparoscopic distal 70% pancreateetomy and splenectomy for chronic pancreatitis. Ann Surg, 1996, 223(3): 280-285.
4.	Malleo G, Damoli I, Marchegiani G, et al. Laparoscopic distal pancreatectomy: analysis of trends in surgical techniques, patient selection, and outcomes. Surg Endosc, 2015, 29(7): 1952-1962.
5.	周海華, 龔道軍, 許龍堂, 等.保留脾臟的胰體尾切除術17例臨床分析.肝膽胰外科雜志, 2014, 26(5): 424-426.
6.	Shindholimath V, Thinagaran K, Nagaraj A, et al. Spleen preserving distal pancreatecto for a large papillary cystic and solid tumor of the pancreas. Tmp Gastroenteml, 2012, 33 (4): 287-289.
7.	李磊, 修典榮, 蔣斌, 等.腹腔鏡遠端胰腺切除.中華普外科雜志, 2013, 28(5): 332-336.
8.	Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an intemational study group (ISGPF) definition. Surgery, 2005, 138(1): 8-13.
9.	Bassi C, BuUufini GMolinari E, et al. Pancreatic fistula rate after pancreatic resection: the importance of definitions, Dig Surg, 2004, 21(1): 54-59.
10.	Femandez-Cruz L, Martinez I, Gilabert R, et al. Laparoscopic distalpancreatectomy combined with preservation of the spleen for cystic ne-oplasms of the pancreas. J Gastrointest Surg, 2004, 8(4): 493-501.
11.	胡浩, 金昌國, 歐陽才國, 等.腹腔鏡下保留脾臟的胰體尾切除術23例.肝膽外科雜志, 2015, 6(23): 173-175.
12.	Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing cornpression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. Surg Endosc, 2011, 25(25): 867-871.
13.	Jean-Philippe Adam, Alexandre Jacquin, Christophe Laurent, et al. Laparoscopic spleen-preserving distalpancreatectomy: splenic vessel preservation compared with the Wshaw technique. JAMA Surg, 2013, 148(3): 246-252.
14.	Leemans R, Manson W, Snijder JA, et al. Immuneresponse capacity after human splenic autotransplantation: restoration of response to individual pneumococcal vaccine subtypes. Ann Surg, 1999, 229(2): 279-285.
15.	Lv GY, Wang GY, Jiang C, et al. Laparoscopicspleen-preserving distal pancreatectomy with or without splenic vessel conservation: a retrospective study of 20 cases. Hepatogastrocnterology, 2013, 60 (127): 1785-1788.

1. Jayaraman S, Gonen M, Brennan MF, et al. Laparoseopie distal pancreatectomy: evolution of a technique at a single institution. J Am Coll Surg, 2010, 211(4): 503-509.
2. Suzuki O, Tanaka E, Hirano S, et al. Efficacy of the electrothermal bipolar vessel sealer in laparoseopic spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. J Gastrointest Surg, 2009, 13(1): 155-158.
3. Cuschieri A, Jakimowicz JJ, Van Spreeuwel J, et al. Laparoscopic distal 70% pancreateetomy and splenectomy for chronic pancreatitis. Ann Surg, 1996, 223(3): 280-285.
4. Malleo G, Damoli I, Marchegiani G, et al. Laparoscopic distal pancreatectomy: analysis of trends in surgical techniques, patient selection, and outcomes. Surg Endosc, 2015, 29(7): 1952-1962.
5. 周海華, 龔道軍, 許龍堂, 等.保留脾臟的胰體尾切除術17例臨床分析.肝膽胰外科雜志, 2014, 26(5): 424-426.
6. Shindholimath V, Thinagaran K, Nagaraj A, et al. Spleen preserving distal pancreatecto for a large papillary cystic and solid tumor of the pancreas. Tmp Gastroenteml, 2012, 33 (4): 287-289.
7. 李磊, 修典榮, 蔣斌, 等.腹腔鏡遠端胰腺切除.中華普外科雜志, 2013, 28(5): 332-336.
8. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an intemational study group (ISGPF) definition. Surgery, 2005, 138(1): 8-13.
9. Bassi C, BuUufini GMolinari E, et al. Pancreatic fistula rate after pancreatic resection: the importance of definitions, Dig Surg, 2004, 21(1): 54-59.
10. Femandez-Cruz L, Martinez I, Gilabert R, et al. Laparoscopic distalpancreatectomy combined with preservation of the spleen for cystic ne-oplasms of the pancreas. J Gastrointest Surg, 2004, 8(4): 493-501.
11. 胡浩, 金昌國, 歐陽才國, 等.腹腔鏡下保留脾臟的胰體尾切除術23例.肝膽外科雜志, 2015, 6(23): 173-175.
12. Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing cornpression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy. Surg Endosc, 2011, 25(25): 867-871.
13. Jean-Philippe Adam, Alexandre Jacquin, Christophe Laurent, et al. Laparoscopic spleen-preserving distalpancreatectomy: splenic vessel preservation compared with the Wshaw technique. JAMA Surg, 2013, 148(3): 246-252.
14. Leemans R, Manson W, Snijder JA, et al. Immuneresponse capacity after human splenic autotransplantation: restoration of response to individual pneumococcal vaccine subtypes. Ann Surg, 1999, 229(2): 279-285.
15. Lv GY, Wang GY, Jiang C, et al. Laparoscopicspleen-preserving distal pancreatectomy with or without splenic vessel conservation: a retrospective study of 20 cases. Hepatogastrocnterology, 2013, 60 (127): 1785-1788.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

單孔腹腔鏡技術在胰腺疾病中的診治體會

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