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Analysis of safety and efficacy of laparoscopic distal pancreatectomy in the treatment of left pancreatic malignant tumors

机译:腹腔镜远端胰腺切除术治疗左胰腺炎恶性肿瘤的安全性和疗效分析

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Objective Distal pancreatectomy is the most extensive operation to treat malignant tumors of the left pancreas; however, malignant pancreatic tumors are prone to early invasion and metastasis. Methods The clinical data of 80 patients undergoing surgical treatment for malignant tumors of the pancreatic body or tail from January 2013 to December 2017 were retrospectively analyzed. The main clinical variables were compared between patients undergoing laparoscopic distal pancreatectomy (LDP) vs. open distal pancreatectomy (ODP). Results There were no significant differences in general patient characteristics, complications, and postoperative survival (χ ~(2) ?=?0.09) between the groups. The operation time in the LDP group was significantly longer than that in the ODP group; however, the LDP group was superior to the ODP group regarding the length of postoperative hospital stay, diet recovery, and rectal exhaust and ambulation times. Conclusion LDP is a safe and feasible treatment for left pancreatic malignancies, with the same surgical efficacy as ODP. LDP also has the advantages of minimally invasive surgery, such as minimal trauma and enhanced recovery after surgery.
机译:目标远端胰乳酶切除术是治疗左胰腺恶性肿瘤的最广泛的操作;然而,恶性胰腺肿瘤易患早期侵袭和转移。方法回顾性分析了2013年1月至2013年1月至2017年12月对胰腺肿瘤的80例患者进行手术治疗的临床资料。在接受腹腔镜远端胰腺切除术(LDP)与开口远端胰腺切除术(ODP)之间的患者之间进行了主要的临床变量。结果普遍患者特征,并发症和术后生存没有显着差异(χ〜(2)?= 0.09)。 LDP组中的操作时间显着长于ODP组中的时间;然而,LDP集团优于术后医院住宿,饮食回收率和直肠排气和散风和救护时间的优越。结论LDP是对左胰腺恶性肿瘤的安全可行的治疗,具有与ODP相同的手术疗效。 LDP还具有微创手术的优点,例如最小的创伤和手术后增强的复苏。

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