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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,洪晓明,戴珍珍,徐鲲杰,滕晓平,叶晓明,任旋磊,郝龙
作者单位
沙洪存 宁波市鄞州第二医院普外科 
洪晓明 宁波市鄞州第二医院普外科 
戴珍珍 宁波市鄞州人民医院病理科 
徐鲲杰 宁波市鄞州第二医院普外科 
滕晓平 宁波市鄞州第二医院普外科 
叶晓明 宁波市鄞州第二医院普外科 
任旋磊 宁波市鄞州第二医院普外科 
郝龙 宁波市鄞州第二医院普外科 
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
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