陈庆民,贾宝兴,王英超,刘松阳,纪柏,刘亚辉

• 1:吉林大学白求恩第一医院肝胆胰外二科

摘要(Abstract)：

目的探讨3D腹腔镜下根治性顺行模块化胰脾切除术治疗胰腺体尾部恶性肿瘤的临床应用价值。方法回顾性分析应用3D腹腔镜行根治性顺行模块化胰脾切除术的12例患者的临床资料。其中男性9例,女性3例;年龄42～71岁,中位年龄56岁。所有患者均为胰腺体尾部恶性肿瘤患者。结果所有患者均顺利完成手术。手术时间151 min(128～205 min),术中出血量260 m L(200～380 m L),术后住院时间11 d(8～16 d)。4例术后发生胰瘘,均为生化漏,均经抑酶和引流等保守治愈。无围手术期死亡病例。术后随访时间3～6个月,患者生活质量好,无肿瘤复发。结论应用3D腹腔镜行根治性顺行模块化胰脾切除术治疗胰体尾部的恶行肿瘤具有安全有效的特点,值得在临床推广和应用。

关键词(KeyWords)： 胰腺肿瘤/外科学;腹腔镜检查/方法;胰腺切除术/方法;脾切除术;治疗结果;回顾性研究

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陈庆民,贾宝兴,王英超,刘松阳,纪柏,刘亚辉

DOI: 10.13267/j.cnki.syzlzz.2019.04.003

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