应夏洋,翁原驰,王伟绅,秦凯,许志伟,沈柏用,彭承宏,邓侠兴

• 1:上海交通大学医学院附属瑞金医院胰腺疾病诊治中心

摘要(Abstract)：

目的评估应用机器人辅助胰腺手术治疗胰头部实性假乳头瘤(solid pseudopapillary tumor,SPT)的可行性和价值。方法回顾性分析89例胰头SPT患者的手术及随访资料,其中48例使用开放手术治疗,41例采用机器人辅助胰腺手术治疗。收集两组患者的临床资料,采用倾向评分匹配(propensity score matching,PSM)对2种方法的中长期疗效进行比较和分析。结果 89例患者中,55例采取胰十二指肠切除术,24例采取保留十二指肠的胰腺切除术,10例为胰腺肿块剜除术。不论何种术式,与开放手术比较,机器人辅助手术的术中出血量减少,围手术期恢复更快,且术后住院天数更短(均P <0. 05)。两种手术方式的术后胰瘘发生率、其他并发症发生率以及患者治疗费用方面比较,差异均无统计学意义(均P> 0. 05)。结论机器人辅助胰腺手术治疗胰头SPT是一种安全、有效的手术方式,可以减少术中出血量及输血需求,加速患者围手术期康复,且并不增加胰瘘或其他主要并发症的发生率。

关键词(KeyWords)： 胰腺肿瘤/外科学;最小侵入性外科手术;机器人手术;剖腹术;乳头状瘤/外科学;胰十二指肠切除术;治疗结果;可行性研究

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 应夏洋,翁原驰,王伟绅,秦凯,许志伟,沈柏用,彭承宏,邓侠兴

DOI: 10.13267/j.cnki.syzlzz.2019.04.002

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