Application of triangle gastric hanging in laparoscopic radical antegrade modular pancreatosplenectomy for patients of pancreatic body and tail malignant tumor
Objective To analyze the feasibility and advantages of gastric triangle suspension tech-nique in laparoscopic radical anterograde modular pancreatiplenectomy(L-RAMPS)for patients of pancreatic body and tail malignant tumor.Methods The clinical data of 29 patients with L-RAMPS in Li Huili Hospi-tal of Ningbo Medical Center from January 2019 to October 2023 were retrospectively analyzed,including 14 males and 15 females,aged(67.6±7.5)years.According to whether gastric triangle suspension was used during operation,29 patients were divided into suspension group(n=14)and control group(n=15).The two groups were compared with several indexes of body mass index,tumor length,postoperative pathological type,operation time,intraoperative blood loss,intraoperative incision margin,intraoperative blood transfu-sion,pancreatic fistula,postoperative massive bleeding,postoperative gastroparesis,length of hospital stay and so on.Results There were no significant differences in age,sex,body mass index,tumor length and pathological type between the two groups(all P＞0.05).Postoperative pathologic findings of the 29 patients included 21 cases of pancreatic adenocarcinoma(72.4％),2 cases of intraductal papillary mucinous tumors(6.9％),2 cases of pancreatic neuroendocrine tumors(6.9％),1 case of pancreatic adenosquamous carci-noma(3.4％),and 3 cases of mucinous cystadenocarcinoma(10.3％).There was no significant difference in the proportion of positive first incision margin,intraoperative blood transfusion,postoperative B/C pancre-atic fistula,postoperative massive hemorrhage and postoperative gastroparesis between the two groups(all P＞0.05).The operative time and intraoperative blood loss in the suspension group were(200.3±13.5)min and(148.6±42.2)ml respectively,less than that in the control group(223.5±36.3)min and(205.3±63.3)ml,and the hospital stay in the suspension group was 14(12,17)d,shorter than that in the control group 26(17,32)d.The differences were statistically significant(all P＜0.05).Conclusion Gastric triangle suspension in L-RAMPS for patients of pancreatic body and tail malignant tumor can reduce the amount of intraoperative bleeding,shorten the operation time and hospital stay,is a reliable and simple suspension method.
NETL
NSTL
万方数据
