首页|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价值分析

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价值分析

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目的:研讨胰腺体尾部恶性肿瘤患者根治治疗期间,3D腹腔镜下根治性顺行模块化胰脾切除术的实施价值.方法:选择2021年1月~2023年1月本院接受治疗的76例胰腺体尾部恶性肿瘤患者为研究对象,分为研究组与常规组,研究组38例实施3D腹腔镜下根治性顺行模块化胰脾切除术,常规组38例实施2D腹腔镜下根治性顺行模块化胰脾切除术,对比两组手术时间、淋巴结清扫数量、术中出血量、术后排气时间、饮食恢复时间以及总住院时间;吻合口瘘、胰腺端瘘、腹部感染、切口感染、肺部感染并发症发生率.结果:研究组手术时间、术中出血量指标数值比常规组低(P<0.05);研究组淋巴结清扫个数比常规组低(P<0.05);研究组并发症发生率比常规组低(P<0.05).结论:依托3D腹腔镜技术完成胰腺体尾部恶性肿瘤患者的手术治疗能够在现有基础上提升患者的治疗效果,优化其手术指标、减少其并发症发生率.后续临床工作中,应当注意做好相关手术治疗措施的推广应用,进而提高患者的预后恢复效果.
Clinical Value Analysis of 3D Laparoscopy Radical Anterograde Modular Pancreaticosplenectomy for the Treatment of Malignant Tumors in the Body and Tail of the Pancreas
Objective:To discuss the value of radical antegrade modular pancreatectomy in 3D laparoscopy during radical treatment of patients with pancreatic tail malignancy.Methods:Specifically,76 patients with pancreatic tail malignant tumors treated in our hospital from January 2021 to January 2023 were divided into study group and conventional group,38 patients 3D laparoscopy radical antegrade modular pancreatic splenectomy,38 cases 2D llaparoscopy radical modular pancreatic splenectomy,comparing the two groups with operation time,number of lymph node dissection,intraoperative bleeding volume,postoperative exhaust time,diet recovery time and total hospital time;The incidence of complications of anastomotic fistula,pancreatic end fistula,abdominal infection,incisional infection,and pulmonary infection.Results:The operation time and intraoperative bleeding index of the study group were lower than the conventional group(P<0.05);The number of lymph node dissection was lower than the study group(P<0.05);The complication rate was lower than the conventional group(P<0.05).Conclusion:The surgical treatment of patients with pancreatic tail malignancy by 3D laparoscopy technology can improve the treatment effect of patients,optimize the surgical index,and reduce the incidence of complications.In the subsequent clinical work,attention should be paid to the promotion and application of relevant surgical treatment measures,so as to improve the prognosis and recovery effect of patients.

tail malignancy of pancreas3D laparoscopyradical antegrade modular pancreatecectomyefficacy

王君

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天津市北辰医院 (天津 300400)

胰腺体尾部恶性肿瘤 3D腹腔镜 根治性顺行模块化胰脾切除术 疗效

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(16)