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首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Spleen and gastrosplenic ligament preserving distal pancreatectomy under a minimum incision approach assisted by laparoscopy.
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Spleen and gastrosplenic ligament preserving distal pancreatectomy under a minimum incision approach assisted by laparoscopy.

机译：在腹腔镜检查辅助下以最小切口方式保留脾脏和胃脾韧带，进行远端胰腺切除术。

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BACKGROUND: As a modification of hand-assisted laparoscopic pancreatectomy, we devised a method of spleen and gastrosplenic ligament preserving distal pancreatectomy, in which pancreatic resection is performed under direct vision extracorporeally. METHODS: The distal pancreas and spleen are pulled out of the peritoneal cavity through the minilaparotomy at the epigastrium following hand-assisted laparoscopic dissection of the distal pancreas. Spleen-preserving pancreatectomy is performed safely under direct vision. The gastrosplenic ligament is also preserved to prevent splenic volvulus after the operation. The transected main pancreatic duct is doubly ligated, and the transected pancreatic stump is sewn manually. The preserved spleen and splenic vessels are placed back in the peritoneal cavity after resection. RESULTS: In the current study (n = 3), overall morbidity rate, including splenic volvulus and pancreatic fistula, was 0%. CONCLUSION: Preservation of the gastrosplenic ligament and extracorporeal preparation of the transected pancreatic stump under direct vision are useful measures in spleen-preserving distal pancreatectomy under a minimum incision approach assisted by laparoscopy.
机译：背景：作为手助腹腔镜胰腺切除术的一种改进，我们设计了一种保留脾脏和胃脾韧带的远端胰腺切除术的方法，该方法在体外直视下进行胰腺切除。方法：在手动辅助腹腔镜切除远端胰腺后，通过上腹部的小切口开腹术将远端胰腺和脾脏从腹膜腔拉出。保留脾脏的胰腺切除术可在直视下安全地进行。胃脾韧带也要保留，以防止术后脾扭转。切除结扎的主胰管，并手工缝合切除的胰残端。切除后将保留的脾脏和脾脏血管放回到腹膜腔中。结果：在本研究中（n = 3），包括脾扭转和胰瘘在内的总发病率为0％。结论：直视下保留脾脏韧带和经胰残端的体外准备是在腹腔镜辅助下以最小切口方式保留脾脏的远端胰腺切除术的有用措施。

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