首页|腹腔镜胰腺肿瘤剜除联合胰管重建治疗胰腺实性假乳头状瘤

腹腔镜胰腺肿瘤剜除联合胰管重建治疗胰腺实性假乳头状瘤

Pancreatic tumor enucleation combined with pancreatic duct reconstruction for pancreatic solid pseudopapillary neoplasm

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目的 探讨胰腺实性假乳头状瘤行腹腔镜胰腺肿瘤剜除联合术中主副胰管重建的可行性及安全性.方法 回顾性分析2024年2月我院收治的1例胰腺实性假乳头状瘤患者(女性,14岁)的临床资料,行腹腔镜胰腺肿瘤剜除术联合主副胰管支架置入重建.结果 患者手术顺利,手术时间240 min,术中出血量约20 mL.术后12 d带腹腔引流管出院,术后15 d拔除引流管.术后1、6个月复查CT及MRI示胰管通畅,胰腺周围无渗液,无肿瘤复发.结论 胰腺实性假乳头状瘤行腹腔镜肿瘤剜除术是可行且安全的;术中联合行主副胰管重建,术后无明显胰瘘.
Objective To investigate the feasibility and safety of laparoscopic pancreatic tumor enucleation(PTE)combined with main-accessory pancreatic duct reconstruction in the treatment of pancreatic solid pseudopapillary neoplasm(PSPN).Method A retrospective analysis was conducted on a 14-year-old female patient with PSPN admitted to our hospital in February 2024 who underwent laparoscopic PTE combined with pancreatic duct stent placement with main-accessory pancreatic duct cross-bridging technique.Results The operation was successful,with an operation time of 240 minutes and an intrao-perative blood loss of about 20 mL.The patient was discharged with an abdominal drainage tube 12 days after the operation,and the drainage tube was removed 15 days after the operation.CT and MRI re-examination revealed that the pancreatic duct was unobstructed,and no exudate around the pancreas or tumor recurrence was observed in 1 and 6 months after the surgery.Conclusions Laparoscopic PTE is a feasible and safe surgical intervention for PSPN.And combined with the reconstruction of main-accessory pancreatic duct cross-bridging technique,it can achieve a good effect without postoperative pancreatic fistula.

pancreatic solid pseudopapillary neoplasmpancreatic tumor enucleationpancreatic duct stentpancreatic duct reconstruction

赵畅、杨毅、唐华勇、袁通立、李云峰

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湖南中医药高等专科学校附属第一医院(湖南省直中医医院)肝胆胰脾外科,湖南株洲 412000

湖南省人民医院(湖南师范大学第一附属医院)肝胆外科,湖南长沙 410005

胰腺实性假乳头状瘤 胰腺肿瘤剜除术 胰管支架 胰管重建

2024

中国现代手术学杂志
中南大学湘雅二医院

中国现代手术学杂志

CSTPCD
影响因子:0.652
ISSN:1009-2188
年,卷(期):2024.28(5)