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首页> 外文期刊>Surgical Endoscopy >Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome.
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Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome.

机译：腹腔镜切除胰腺：短期结果的可行性研究。

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BACKGROUND: Laparoscopic resection is not an established treatment for tumors of the pancreas. We report our preliminary experience with this innovative approach to pancreatic disease. METHODS: Thirty two patients with pancreatic disease were included in the study on an intention-to-treat basis. The preoperative indications for surgery were as follows: neuroendocrine tumors ( n=13), unspecified tumors ( n=11), cysts ( n=2), idiopathic thrombocytopenic purpura with ectopic spleen ( n=2), annular pancreas ( n=1), trauma ( n=1), aneurysm of the splenic artery ( n=1), and adenocarcinoma ( n=1). RESULTS: Enucleations ( n=7) and distal pancreatectomy with ( n=12) and without splenectomy ( n=5) were performed. Three patients underwent laparoscopic exploration only. Four procedures (13%) were converted to an open technique. One resection was converted to a hand-assisted procedure. The mortality rate for patients undergoing laparoscopic resection was 8.3% (two of 24). Complications occurred after resection in nine of 24 procedures (38%). The median hospital stay was 5.5 days (range, 2-22). Postoperatively, opioid medication was given for a median of 2 days (range, 0-13). CONCLUSION: Resection of the pancreas can be performed safely via the laparoscopic approach with all the potential benefits to the patients of minimally invasive surgery.
机译：背景：腹腔镜切除术不是胰腺肿瘤的既定治疗方法。我们报告了使用这种创新方法治疗胰腺疾病的初步经验。方法：32例胰腺疾病患者被纳入研究对象。手术前的适应症如下：神经内分泌肿瘤（n = 13），未明确的肿瘤（n = 11），囊肿（n = 2），特发性血小板减少性紫癜伴异位脾脏（n = 2），环形胰腺（n = 1） ），创伤（n = 1），脾动脉瘤（n = 1）和腺癌（n = 1）。结果：行去核（n = 7）和远端胰腺切除术（n = 12）和不进行脾切除术（n = 5）。仅三名患者接受了腹腔镜探查。四个过程（13％）被转换为开放技术。一次切除手术转变为手动手术。接受腹腔镜切除术的患者的死亡率为8.3％（24位患者中的2位）。 24例手术中有9例在手术后发生并发症（38％）。中位住院时间为5.5天（范围2-22）。术后平均给予阿片类药物2天（范围0-13）。结论：通过腹腔镜手术可以安全地切除胰腺，对微创手术患者具有所有潜在的益处。

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