Laparoscopic duodenum-preserving subtotal pancreatic head resection: a clinical analysis of eight patients

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2019-11-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2019.11.012

Jianzhang Qin, Xueqing Liu, Le Wang, J. Duan

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引用次数: 0

Abstract

Objective To summarize the clinical experience of laparoscopic duodenum-preserving subtotal pancreatic head resection (LDPPHR). Methods The clinical data of 8 patients with LDPPHR performed at the Second Hospital of Hebei Medical University from November 2016 to February 2019 were analyzed retrospectively. Results All the eight patients underwent LDPPHR successfully. The operation time was 207.0~540.0 minutes. The estimated blood loss was 50.0~200.0 ml. The postoperative hospital stay was 10.0~27.0 days. One patient developed pancreatic fistula of grade B, and one patient developed biliary fistula. Pathologic results showed pancreatic solid pseudopaillary neoplasm in 3 patients, intraductal papillary mucinous neoplasms in 1 patient, mucinous cystadenoma in 1 patient, serous cystadenoma in 1 patient, neuroendocrine neoplasm in 1 patient, and pancreatic true cyst in 1 patient. Conclusion LDPPHR is a safe and effective surgical method for treatment of pancreatic head inflammatory mass, pancreatic head benign or low-grade malignant tumors. Key words: Laparoscopes; Pancreaticoduodenectomy; Pancreatic neoplasms; Duodenum-preserving pancreatic head resection; Pancreatic head inflammatory mass; Duodenal blood supply

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腹腔镜保留十二指肠的胰大部切除术8例临床分析

目的总结腹腔镜保十二指肠胰头次全切除术的临床经验。方法回顾性分析河北医科大学第二医院2016年11月至2019年2月收治的8例LDPPHR患者的临床资料。结果8例患者均成功行LDPPHR手术。手术时间为207.0~540.0 min。术后估计失血量50.0~200.0 ml，住院时间10.0~27.0 d。1例发生B级胰瘘，1例发生胆道瘘。病理结果:胰腺实性假乳头状瘤3例，导管内乳头状粘液瘤1例，粘液性囊腺瘤1例，浆液性囊腺瘤1例，神经内分泌瘤1例，胰腺真囊肿1例。结论LDPPHR是治疗胰头炎性肿块、胰头良性或低度恶性肿瘤安全有效的手术方法。关键词:腹腔镜;胰十二指肠;胰腺肿瘤;保留十二指肠胰头切除术;胰头炎性肿块;十二指肠血供

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来源期刊

中华肝胆外科杂志 Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

7101

期刊介绍： Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.