CAJ | 학술논문

目的：探讨腹腔镜下保留脾脏的胰体尾肿瘤切除术在胰体尾部肿瘤治疗中的可行性及作用。方法我院在2010年1月至2014年1月期间共完成18例腹腔镜下保留脾脏的胰腺远端切除术。结果18例手术均顺利完成，手术时间196（118~282）min，术中出血185（50~380）mL，术后住院时间为13.5(8~23)d，术后有3例出现胰漏，1例出现左侧胸腔积液，1例出现局部脾梗死，经延迟拔管、利尿、对症等治疗后，均治愈出院。术后病理诊断为胰腺癌5例，胰体尾浆液性囊腺瘤6例，黏液性囊腺瘤4例，胰岛细胞瘤2例，慢性胰腺炎1例。结论对于良性或低度恶性的胰体尾肿瘤患者，临床上施行保留脾脏的腹腔镜胰体尾切除术，是安全的，具有恢复快、并发症少，值得临床推广、应用。
목적：탐토복강경하보류비장적이체미종류절제술재이체미부종류치료중적가행성급작용。방법아원재2010년1월지2014년1월기간공완성18례복강경하보류비장적이선원단절제술。결과18례수술균순리완성，수술시간196（118~282）min，술중출혈185（50~380）mL，술후주원시간위13.5(8~23)d，술후유3례출현이루，1례출현좌측흉강적액，1례출현국부비경사，경연지발관、이뇨、대증등치료후，균치유출원。술후병리진단위이선암5례，이체미장액성낭선류6례，점액성낭선류4례，이도세포류2례，만성이선염1례。결론대우량성혹저도악성적이체미종류환자，림상상시행보류비장적복강경이체미절제술，시안전적，구유회복쾌、병발증소，치득림상추엄、응용。
Objective To discuss the feasibility and effect of laparoscopic spleen preserving pancreatic body and tail tumor resection of pancreatic body and tail in the treatment of tumor.Methods In our hospital during January 2010 to January 2014 completed a total of 18 cases of laparoscopic spleen preserving distal pancreatectomy.Results All of the 18 cases of operation were successfully completed, the operation time was 196 (118-282) min, the intraoperative blood loss was 185 (50-380) mL, the postoperative hospital stay was 13.5 (8-23) days after operation. There were 3 cases of pancreatic leakage, 1 cases showed left pleural effusion, 1 cases of partial splenic infarction, they were cured with delayed extubation, diuretic and symptomatic treatment. 5 cases of pancreatic cancer,6 cases of pancreatic serous cystadenoma, 4 cases of mucinous cystadenoma, 2 cases of islet cell tumor and 1 cases of chronic pancreatitis were diagnosed by the postoperative pathological diagnosis.Conclusions The tumor of body and tail of pancreas in patients with benign or low-grade malignant, clinical sparing laparoscopic pancreatic body tail resection of the spleen, is safe, with rapid recovery, fewer complications, worthy of clinical popularization, application.