CAJ | 학술논문

目的探讨腹腔镜手术治疗小儿胰腺疾病的临床效果.方法 2005年10月至2010年12月应用腹腔镜手术治疗小儿胰腺疾病9例,其中胰腺假性囊肿1例,行囊肿内引流术;局灶性胰岛细胞增生症1例,行单纯胰腺肿瘤切除;弥漫性胰岛细胞增生症2例,胰腺假乳头状瘤3例,行保留脾脏的胰体尾切除术;胰管扩张2例,行扩张胰管空肠侧侧Roux-y吻合术.结果所有手术均获成功,其中完全腹腔镜下完成手术8例,中转开腹手术1例.手术时间140～210 min;术中无输血,无十二指肠损伤;术后发生胆瘘1例,经再次开腹手术治愈;术后住院时间3～20d.患儿随访3～24个月,临床症状全部缓解,无任何并发症发生.结论腹腔镜手术治疗部分胰腺疾病是一种安全、有效,可行的手术方法.
목적 탐토복강경수술치료소인이선질병적림상효과.방법 2005년10월지2010년12월응용복강경수술치료소인이선질병9례,기중이선가성낭종1례,행낭종내인류술;국조성이도세포증생증1례,행단순이선종류절제;미만성이도세포증생증2례,이선가유두상류3례,행보류비장적이체미절제술;이관확장2례,행확장이관공장측측Roux-y문합술.결과 소유수술균획성공,기중완전복강경하완성수술8례,중전개복수술1례.수술시간140～210 min;술중무수혈,무십이지장손상;술후발생담루1례,경재차개복수술치유;술후주원시간3～20d.환인수방3～24개월,림상증상전부완해,무임하병발증발생.결론 복강경수술치료부분이선질병시일충안전、유효,가행적수술방법.
Objective To evaluate efficacy of laparoscopy in the treatment of pediatric pancreatic diseases. Methods Nine children with pancreatic diseases underwent laparoscopy surgery between October 2005 and December 2010. The procedures included internal drainage of pancreatic pseudocyst (n = 1) ,excision of islet cell tumor (n= 1),distal pancreatectomy for diffuse islet cell hyperplasia (n = 2) and solid-pseudopapillary tumor of pancreas (n = 3),lateral pancreaticojejunostomy for pancreatic duct dilatation (n = 2). Results All patients recovered uneventfully. Only one patient was converted to open surgery. Operative time ranged from 140 to 210 minutes. No blood transfusion was required. No duodenal injury was encountered. One patient required redo open surgery for bile leak and recovered. Postoperative hospital stay was 3-20 days. Follow-up period ranged from 3 to 24 months. No complication was observed. Conclusions Laparoscopic surgery for pancreatic diseases in children is safe,feasible and effective.