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首页> 外文期刊>Surgical Endoscopy >Pancreatic complications following laparoscopic splenectomy.
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Pancreatic complications following laparoscopic splenectomy.

机译：腹腔镜脾切除术后的胰腺并发症。

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BACKGROUND: Laparoscopic splenectomy (LS) has been widely accepted despite a paucity of outcome data. Therefore, we performed a review of LS to assess the pancreatic complications and outcomes associated with this procedure. METHODS: Ninety-four splenectomies were performed for a variety of hematologic disorders. The patient was placed in the lateral position, and three or four trocars were used. RESULTS: LS was completed successfully in 93 patients. One case was converted to an open splenectomy for suspected gastrotomy. Thirty of 32 patients with splenomegaly underwent successful LS. Fifteen patients (16%) had some evidence of pancreatic injury. Six patients had asymptomatic hyperamylasemia. An injury directly associated with an adverse outcome occurred in nine cases (9.5% overall); six patients had pancreatic collections, one had a pancreatic fistula, and two developed hyperamylasemia and pain altering the length of hospitalization. Four of these nine patients did not have elevated postoperative amylase levels and were readmitted with pancreatic complications. CONCLUSIONS: LS can be performed for most pathologic conditions. Pancreatic injury is the most common morbidity associated with LS. The detection of hyperamylasemia can alert the surgeon to a pancreatic injury and alter postoperative management.
机译：背景：尽管缺乏成果数据，腹腔镜脾切除术（LS）已被广泛接受。因此，我们对LS进行了评估，以评估与该手术相关的胰腺并发症和预后。方法：对多种血液系统疾病进行了94例脾切除术。病人侧卧，使用三或四根套管针。结果：93例患者成功完成了LS。一例因怀疑胃切除术而改行开腹脾切除术。 32例脾肿大患者中有30例成功获得LS。 15名患者（16％）有胰腺损伤的迹象。 6例患者无症状性高淀粉血症。直接与不良后果相关的伤害有9例（总9.5％）; 6例患者收集了胰腺，其中1例患者接受了胰瘘，另外2例患者出现了高淀粉血症和疼痛，改变了住院时间。这九名患者中有四名术后淀粉酶水平未升高，并因胰腺并发症而再次入院。结论：LS可用于大多数病理状况。胰腺损伤是与LS相关的最常见的发病率。高淀粉血症的检测可以提醒外科医生胰腺损伤并改变术后处理。

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