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首页> 外文期刊>Surgical Endoscopy >Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasm.
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Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels for benign pancreas neoplasm.

机译：腹腔镜远端胰腺切除术，保留脾脏和脾脏血管，以治疗胰腺良性肿瘤。

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BACKGROUND: Laparoscopic distal pancreatectomy to conserve the spleen is a beneficial operation for patients with benign and borderline malignancy in the pancreas. With this procedure, it is very desirable to preserve the splenic artery and vein as well. METHODS: From May 2000 to July 2003, five laparoscopic distal pancreatectomies with preservation of the spleen and splenic vessels were performed for benign pancreas neoplasm at Ewha Womans University Mokdong Hospital in Seoul, Korea. RESULTS: The postoperative pathologic diagnoses were two serous cystadenomas, two mucinous cystadenomas, and one solid and papillary epithelial tumor. The tumors ranged in size from 1.5 to 7 cm. Four trocars (10-15 mm) and a laparoscopic linear stapler were used for transection of the pancreas. The mean operation time was 348 min, and the mean length of the incision for extraction was 3.6 cm. The mean postoperative hospital stay was 10.4 days. There was no complication or mortality. CONCLUSION: Laparoscopic distal pancreatectomy with preservation of the spleen and splenic vessels is a relatively safe and feasible option for the management of benign tumor or borderline malignancy in the distal pancreas.
机译：背景：腹腔镜远端胰腺切除术可保护脾脏，对胰腺良性和边缘性恶性肿瘤患者是一项有益的手术。通过这种方法，非常希望保留脾动脉和静脉。方法：从2000年5月至2003年7月，在韩国首尔梨花女子大学木洞医院进行了5例腹腔镜远端胰切除术，保留了脾脏和脾脏血管的良性肿瘤。结果：术后病理诊断为2例浆液性囊腺瘤，2例粘液性囊腺瘤，1例实体和乳头状上皮肿瘤。肿瘤的大小在1.5至7厘米之间。使用四根套管针（10-15 mm）和腹腔镜线性吻合器切开胰腺。平均手术时间为348分钟，平均切口长度为3.6厘米。术后平均住院天数为10.4天。没有并发症或死亡。结论：腹腔镜远端胰腺切除术保留脾脏和脾脏血管是治疗远端胰腺良性肿瘤或交界性恶性肿瘤的相对安全可行的选择。

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